Sezer Özgür, Aydin Ali Attila, Bilge Sedat, Arslan Fatih, Arslan Hasan
Department of Emergency Medicine, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey.
Department of Emergency Medicine, Acibadem Altunizade Hospital, Istanbul, Turkey.
Indian J Pharmacol. 2017 Jul-Aug;49(4):325-327. doi: 10.4103/ijp.IJP_620_16.
Lingual hematoma is a severe situation, which is rare and endangers the airway. It can develop due to trauma, vascular abnormalities, and coagulopathy. Due to its sudden development, it can be clinically confused with angioedema. In patients who applied to the doctor with complaints of a swollen tongue, lingual hematoma can be confused with angioedema, in particular, at the beginning if the symptoms occurred after drug use. It should especially be considered that dystonia in the jaw can present as drug-induced hyperkinetic movement disorder. Early recognition of this rare clinical condition and taking precautions for providing airway patency are essential. In this case report, we will discuss mimicking angioedema and caused by a bite due to dystonia and separation of the tongue from the base of the mouth developing concurrently with lingual hematoma.
舌部血肿是一种严重情况，较为罕见且危及气道。它可因外伤、血管异常和凝血功能障碍而发生。由于其突然出现，临床上可能会与血管性水肿混淆。在因舌头肿胀前来就医的患者中，尤其是在用药后出现症状的初期，舌部血肿可能会与血管性水肿相混淆。特别要考虑到下颌肌张力障碍可能表现为药物性运动障碍。早期识别这种罕见的临床情况并采取措施确保气道通畅至关重要。在本病例报告中，我们将讨论与血管性水肿相似、由肌张力障碍咬伤导致且舌体从口腔底部分离并与舌部血肿同时发生的情况。
