Lehane Ronald J
Department of Periodontology and Implant Dentistry, New York University College of Dentistry, New York, NY, USA.
N Y State Dent J. 2013 Apr;79(3):25-7.
Angiotensin-converting enzyme (ACE) inhibitors are commonly used in the treatment of hypertension. Angioedema is a known side effect of ACE inhibitors. Awareness of the clinical presentation of angioedema can allow for appropriate medical referral. The case presented here describes a 69-year-old African-American female who presented with a swollen lower lip that had developed overnight. A review of her medical history revealed that she was being treated for hypertension with a combination product containing lisinopril and hydrocholorothiazide. A diagnosis of lisinopril-induced angioedema was made. Her physician was consulted and her medications were discontinued. The lip swelling resolved without incident.
血管紧张素转换酶(ACE)抑制剂常用于治疗高血压。血管性水肿是ACE抑制剂已知的副作用。了解血管性水肿的临床表现有助于进行适当的医疗转诊。此处呈现的病例描述了一名69岁的非裔美国女性,她下唇肿胀,一夜之间出现。回顾其病史发现,她正在使用含有赖诺普利和氢氯噻嗪的复方制剂治疗高血压。诊断为赖诺普利诱发的血管性水肿。咨询了她的医生并停用了她的药物。唇部肿胀顺利消退。