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氯沙坦诱发的血管性水肿:一例报告。

Losartan-Induced Angioedema: A Case Report.

作者信息

Mann Henry, Pandey Sagar, Pokhriyal Sindhu, Kusayev Josef, Dufresne Alix

机构信息

Internal Medicine, One Brooklyn Health System, Interfaith Medical Center, New York City, USA.

Medicine, New York Medical College, Valhalla, USA.

出版信息

Cureus. 2023 Apr 19;15(4):e37818. doi: 10.7759/cureus.37818. eCollection 2023 Apr.

Abstract

Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers are both classes of drugs used in the management of hypertension, heart failure, chronic kidney disease, and proteinuria. While angioedema induced by ACE inhibitors has been well-documented, angioedema induced by angiotensin receptor blockers (ARBs) has not. We present the case of losartan-induced angioedema requiring tracheostomy in a 48-year-old African American male. To our knowledge, there have only been twenty case reports published to date about losartan-induced angioedema. Although in the immediate short-term, our patient made a complete recovery, he had a sudden cardiac arrest a few months after the incident of angioedema and died.

摘要

血管紧张素转换酶(ACE)抑制剂和血管紧张素受体阻滞剂都是用于治疗高血压、心力衰竭、慢性肾病和蛋白尿的药物类别。虽然由ACE抑制剂引起的血管性水肿已有充分记录,但由血管紧张素受体阻滞剂(ARB)引起的血管性水肿却没有。我们报告一例48岁非裔美国男性因氯沙坦诱发血管性水肿而需要气管切开术的病例。据我们所知,迄今为止,关于氯沙坦诱发血管性水肿仅发表了20例病例报告。尽管在近期内,我们的患者完全康复,但在血管性水肿事件发生几个月后,他突然心脏骤停并死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4710/10197360/7da2adaaa82d/cureus-0015-00000037818-i01.jpg

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