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一位 82 岁反复发生血管性水肿的男性患者。

An 82-year-old man with recurrent angioedema.

机构信息

From the Division of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.

Department of Dermatology, University of Michigan, Ann Arbor, Michigan.

出版信息

Allergy Asthma Proc. 2019 Sep 1;40(5):350-353. doi: 10.2500/aap.2019.40.4242.

Abstract

Angioedema is a potentially life-threatening swelling condition that can occur either in isolation or in the context of other syndromes, , anaphylaxis. Angioedema is typically asymmetric, lasts for hours to days, is not gravity dependent, and is often nonpitting. Recurrent angioedema is typically associated with histaminergic and bradykinin-mediated causes, some of which can indicate underlying etiologies with high morbidity or mortality. The differential diagnosis for acute angioedema can include anaphylaxis, chronic urticaria with angioedema, medications such as angiotensin-converting-enzyme inhibitors, hereditary C1 esterase inhibitor defects, and acquired defects; however, the cause is often idiopathic, and effective therapy can be elusive. In this article, we described a unique etiology of a case of isolated recurrent angioedema that improved when the possible underlying cause was successfully treated.

摘要

血管性水肿是一种潜在危及生命的肿胀病症,可孤立出现或伴随其他综合征出现,如过敏反应。血管性水肿通常呈不对称性,持续数小时至数天,不依赖于重力,且通常无凹陷。反复发作的血管性水肿通常与类组胺和缓激肽介导的原因有关,其中一些原因可能表明存在高发病率或死亡率的潜在病因。急性血管性水肿的鉴别诊断可包括过敏反应、伴有血管性水肿的慢性荨麻疹、药物(如血管紧张素转换酶抑制剂)、遗传性 C1 酯酶抑制剂缺陷、获得性缺陷等;然而,病因通常是特发性的,有效的治疗可能难以捉摸。在本文中,我们描述了一个孤立性复发性血管性水肿的独特病因,当潜在病因得到成功治疗时,病情得到改善。

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