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由阿司匹林引起的孤立性肠血管性水肿。

Isolated angioedema of the bowel caused by aspirin.

机构信息

Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st St. SW, Rochester, MN, 55902, USA.

Department of Internal Medicine, Beth Israel Lahey Clinic, Burlington, MA, 01803, USA.

出版信息

Clin J Gastroenterol. 2021 Aug;14(4):1096-1102. doi: 10.1007/s12328-021-01430-6. Epub 2021 May 17.

DOI:10.1007/s12328-021-01430-6
PMID:33999375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8127855/
Abstract

Angioedema is a self-limited, localized tissue swelling, resulting from fluid extravasation into interstitial spaces. It may occur in isolation or be accompanied by urticaria and/or anaphylaxis. The phenomenon has been linked to multiple medications, including non-steroidal anti-inflammatory drugs (NSAIDs) and angiotensin-converting enzyme inhibitors (ACEIs). NSAID-induced angioedema is observed in < 0.3% of patients taking NSAIDs. While isolated visceral angioedema has been reported from ACEIs, it has not been documented from NSAID use, particularly aspirin usage. Here, we report a case of isolated visceral angioedema attributed to aspirin use.

摘要

血管性水肿是一种自限性的局限性组织肿胀,是由于液体渗出到间质空间引起的。它可以单独发生,也可以伴有荨麻疹和/或过敏反应。这种现象与多种药物有关,包括非甾体抗炎药(NSAIDs)和血管紧张素转换酶抑制剂(ACEIs)。在服用 NSAIDs 的患者中,<0.3%观察到 NSAID 引起的血管性水肿。虽然 ACEIs 报道过孤立性内脏血管性水肿,但从 NSAID 使用,特别是阿司匹林使用中尚未记录到。在这里,我们报告了一例归因于阿司匹林使用的孤立性内脏血管性水肿病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/876ef1089b3a/12328_2021_1430_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/05224bff9af7/12328_2021_1430_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/db3d54b78698/12328_2021_1430_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/c3d631c2e60a/12328_2021_1430_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/c993c684b95b/12328_2021_1430_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/c5e9ee05780e/12328_2021_1430_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/876ef1089b3a/12328_2021_1430_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/05224bff9af7/12328_2021_1430_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/db3d54b78698/12328_2021_1430_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/c3d631c2e60a/12328_2021_1430_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/c993c684b95b/12328_2021_1430_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/c5e9ee05780e/12328_2021_1430_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/8127855/876ef1089b3a/12328_2021_1430_Fig6_HTML.jpg

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