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Angioedema, ACE inhibitor and COVID-19
SARS-CoV-2, the virus responsible for COVID-19, binds to the ACE2 receptors. ACE2 is thought to counterbalance ACE in the renin-angiotensin system. While presently it is advised that patients should continue to use ACE inhibitors or angiotensin receptor blockers, questions still remain as to whether...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482445/ https://www.ncbi.nlm.nih.gov/pubmed/32912894 http://dx.doi.org/10.1136/bcr-2020-237888 |
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author | Grewal, Ekjot Sutarjono, Bayu Mohammed, Ibbad |
author_facet | Grewal, Ekjot Sutarjono, Bayu Mohammed, Ibbad |
author_sort | Grewal, Ekjot |
collection | PubMed |
description | SARS-CoV-2, the virus responsible for COVID-19, binds to the ACE2 receptors. ACE2 is thought to counterbalance ACE in the renin-angiotensin system. While presently it is advised that patients should continue to use ACE inhibitors or angiotensin receptor blockers, questions still remain as to whether adverse effects are potentiated by the virus. Here, we report a case of a 57-year-old man, unknowingly with COVID-19, who presented to the emergency department with tongue swelling, shortness of breath and difficulty in speaking following 4 months taking benazepril, an ACE inhibitor. Finally, we also describe possible pathways that exist for SARS-CoV-2 to interact with the mechanism behind angioedema. |
format | Online Article Text |
id | pubmed-7482445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-74824452020-09-18 Angioedema, ACE inhibitor and COVID-19 Grewal, Ekjot Sutarjono, Bayu Mohammed, Ibbad BMJ Case Rep Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect SARS-CoV-2, the virus responsible for COVID-19, binds to the ACE2 receptors. ACE2 is thought to counterbalance ACE in the renin-angiotensin system. While presently it is advised that patients should continue to use ACE inhibitors or angiotensin receptor blockers, questions still remain as to whether adverse effects are potentiated by the virus. Here, we report a case of a 57-year-old man, unknowingly with COVID-19, who presented to the emergency department with tongue swelling, shortness of breath and difficulty in speaking following 4 months taking benazepril, an ACE inhibitor. Finally, we also describe possible pathways that exist for SARS-CoV-2 to interact with the mechanism behind angioedema. BMJ Publishing Group 2020-09-09 /pmc/articles/PMC7482445/ /pubmed/32912894 http://dx.doi.org/10.1136/bcr-2020-237888 Text en © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage |
spellingShingle | Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect Grewal, Ekjot Sutarjono, Bayu Mohammed, Ibbad Angioedema, ACE inhibitor and COVID-19 |
title | Angioedema, ACE inhibitor and COVID-19 |
title_full | Angioedema, ACE inhibitor and COVID-19 |
title_fullStr | Angioedema, ACE inhibitor and COVID-19 |
title_full_unstemmed | Angioedema, ACE inhibitor and COVID-19 |
title_short | Angioedema, ACE inhibitor and COVID-19 |
title_sort | angioedema, ace inhibitor and covid-19 |
topic | Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482445/ https://www.ncbi.nlm.nih.gov/pubmed/32912894 http://dx.doi.org/10.1136/bcr-2020-237888 |
work_keys_str_mv | AT grewalekjot angioedemaaceinhibitorandcovid19 AT sutarjonobayu angioedemaaceinhibitorandcovid19 AT mohammedibbad angioedemaaceinhibitorandcovid19 |