Six years experience of angioedema at the University Hospital of the West Indies.
Angioedema (AE) is a problem that all doctors inclusive of emergency room physicians and the otolaryngologists are often asked to treat. We present a six-year experience with this disorder. In this series, angiotensin-converting enzyme inhibitors (ACEIs) were related to 60% of admissions for angioedema. Lip and tongue swelling was the most common manifestation. The discontinuation of ACEI therapy and supportive management are the recommended approaches to treatment and prevention of unfavourable outcomes. The authors strongly recommend medic alert bracelets for all patients with this disorder. The use and side effects of ACEI therapy in our population which is predominantly of African descent warrants further investigations.
Williams-Johnson
J A
JA
Department of Surgery, Radiology, Anaesthesia and Intensive Care. The University of the West Indies, Kingston 7, Jamaica, West Indies.
Hemmings
S
S
Williams
E W
EW
Channer
G
G
McDonald
A H
AH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000799:Angioedema / Q000139:chemically induced / Q000175:diagnosis*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects*; D002675:Child, Preschool; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007563:Jamaica; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014900:West Indies
D000806:Angiotensin-Converting Enzyme Inhibitors