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Angiotensin-Converting Enzyme Inhibitor-Associated Angioedema

机译:血管紧张素转换酶抑制剂相关的血管性水肿

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摘要

A 47-year-old African American female presented to the emergency department with increasing facial and upper lip swelling (angioedema) during the previous 12 h. There was no history of previous angioedema or urticaria. The patient's medications included hy-drochlorothiazide 25mg and lisinopril 20 mg daily, the latter of which she had taken for 2 years. The lisinopril was discontinued, and she was treated with oral prednisone, diphenhydramine, and ranitidine. Her symptoms resolve completely over a 3-day period.
机译:一名47岁的非洲裔美国女性在前12小时内出现在急诊科,其面部和上唇肿胀(血管性水肿)增加。没有既往血管水肿或荨麻疹的病史。患者的药物包括每日25毫克的氢氯噻嗪和20毫克的赖诺普利,后者服用了2年。赖诺普利停用,并接受口服泼尼松,苯海拉明和雷尼替丁治疗。她的症状在3天内完全消失。

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