About a Case of Neurotic Angioedema Induced by Angiotensin Converting Enzyme Inhibitor  

作　　者：Rakotoniaina Andriamiarimbola Irène Fenomana Jocia Riel Andry Mampionona Rasamindrakotroka Andry 

机构地区：[1]Laboratory Department, University Hospital Mitsinjo Betanimena, Tuléar, Madagascar [2]Laboratory Department, University Hospital Tambohobe, Fianarantsoa, Madagascar [3]Reanimation Department, University Hospital Tanambao, Tuléar, Madagascar [4]Laboratory of Immunology Department, University Hospital HJRA, Antananarivo, Madagascar

出　　处：《Case Reports in Clinical Medicine》2017年第11期295-300,共6页临床医学病理报告（英文）

摘　　要：Neurotic angioedema may be secondary to ACE (Angiotensin-converting enzyme) inhibitor. From a case of neurotic angioedema in a hypertensive man under ACE (Angiotensin-converting enzyme) inhibitor, we expose the clinical characteristics typical of the edema and its evolution. A 73-year-old man has consulted for edema of the face and redness of the palmar surface of the hand not pruriginous for 2 days. He has already had conventional anti-edematous treatments but no changes. In the absence of a technical platform, no paraclinical examination was carried out. The cessation of ACE inhibitor and the administration of tranexamic acid were made immediately. Signs regressed within 24 hours. Neurotic angioedema is a diagnostic problem in countries where biological examination is still limited and if practitioners are unaware of the possibility of its occurrence during IEC treatment. While the patient’s prognosis depends on the precocity of management.Neurotic angioedema may be secondary to ACE (Angiotensin-converting enzyme) inhibitor. From a case of neurotic angioedema in a hypertensive man under ACE (Angiotensin-converting enzyme) inhibitor, we expose the clinical characteristics typical of the edema and its evolution. A 73-year-old man has consulted for edema of the face and redness of the palmar surface of the hand not pruriginous for 2 days. He has already had conventional anti-edematous treatments but no changes. In the absence of a technical platform, no paraclinical examination was carried out. The cessation of ACE inhibitor and the administration of tranexamic acid were made immediately. Signs regressed within 24 hours. Neurotic angioedema is a diagnostic problem in countries where biological examination is still limited and if practitioners are unaware of the possibility of its occurrence during IEC treatment. While the patient’s prognosis depends on the precocity of management.

关 键 词：Neurotic ANGIOEDEMA ACE INHIBITOR DIAGNOSIS Treatment 

分 类 号：R73[医药卫生—肿瘤]