title: [Angioedema caused by enalapril (Reniten)].
abstract: Two cases of enalapril(Reniten)-induced angioedema are described. In both patients the time lag between the first manifestation of angio-edema and diagnosis was more than one year, during which several bouts of edema occurred. One patient developed life-threatening swelling of the tongue and the larynx followed by asystole and apnea. The second patient had recurrent edema of the tongue and dyspnea. In general, enalapril-induced edema is not thought to be based on immunological mechanisms. However, in both patients we found elevated titres of antinuclear antibodies, which were reversible upon cessation of enalapril medication. The possible pathomechanisms are discussed.
authors.affiliation: Allergiestation der Dermatologischen Universitätsklinik Zürich.
authors.forename: T
authors.initials: T
authors.lastname: Huwyler
authors.forename: B
authors.initials: B
authors.lastname: Wüthrich
authors.forename: K
authors.initials: K
authors.lastname: Mühlethaler
authors.forename: H
authors.initials: H
authors.lastname: Kuhn
authors.forename: H
authors.initials: H
authors.lastname: Jungbluth
authors.forename: P
authors.initials: P
authors.lastname: Späth
authors.forename: H
authors.initials: H
authors.lastname: Hochreutener
mesh_terms: D000799:Angioedema / Q000139:chemically induced* / Q000276:immunology; D000974:Antibodies, Antinuclear / Q000032:analysis; D004342:Drug Hypersensitivity / Q000175:diagnosis; D004656:Enalapril / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013997:Time Factors
chemical_list: D000974:Antibodies, Antinuclear; D004656:Enalapril
vernacular_title: Enalapril-(Reniten-) assoziierte Angioödeme.