title: ACE inhibitor angioedema - a very late presentation.
abstract: The patient, a hypertensive man, 77 years of age, presented at a local rural hospital after noticing increasing swelling of his tongue, leading to difficulty talking and then difficulty breathing. These symptoms developed over about 2 hours and he had not noted any rash. He had been on enalapril 10–20 mg for 23 years. He had also been on hydrochlorothiazide and atorvastatin for some years. He had not taken any non-steroidal anti-inflammatory drugs (NSAIDs) before the swelling developed.
authors: BSc (Hons), MBBS, FACRRM, is a rural procedural GP who teaches in the Esperance site of the Rural Clinical School, University of WA and University of Notre Dame, Western Australia.
authors: Donald
authors: D
authors: Howarth
mesh_terms: D000368:Aged; D000799:Angioedema / Q000139:chemically induced*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects*; D004656:Enalapril / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014060:Tongue Diseases / Q000139:chemically induced*
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D004656:Enalapril