ACE Inhibitor-Induced Angioedema of the Bowel

Angiotensin converting enzyme inhibitor ACEI-induced angioedema of the intestine is a rare occurrence and often unrecognized complication of ACEI. We present a case of a 45-year-old Hispanic female with angioedema of the small bowel progressing to facial and oral pharyngeal angioedema. Patients are...

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Main Authors: Tabitha Campbell, Bradley Peckler, Raleigh David Hackstadt, Austin Payor
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/690695
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author Tabitha Campbell
Bradley Peckler
Raleigh David Hackstadt
Austin Payor
author_facet Tabitha Campbell
Bradley Peckler
Raleigh David Hackstadt
Austin Payor
author_sort Tabitha Campbell
collection DOAJ
description Angiotensin converting enzyme inhibitor ACEI-induced angioedema of the intestine is a rare occurrence and often unrecognized complication of ACEI. We present a case of a 45-year-old Hispanic female with angioedema of the small bowel progressing to facial and oral pharyngeal angioedema. Patients are typically middle-aged females on ACEI therapy who present to the emergency department with abdominal pain, nausea, vomiting, and diarrhea. This is a diagnosis of exclusion, and physicians must have a high index of suspicion to make the diagnosis. Symptoms typically resolve within 24–48 hours after ACE inhibitor withdrawal. Recognizing these signs and symptoms, and discontinuing the medication, can save a patient from unnecessary, costly, and invasive procedures.
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spelling doaj-art-c5b4fa0b23ba4e2eb30ce2c3e2493c482025-08-20T03:22:42ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/690695690695ACE Inhibitor-Induced Angioedema of the BowelTabitha Campbell0Bradley Peckler1Raleigh David Hackstadt2Austin Payor3College of Medicine, University of South Florida, Tampa, FL 33606, USACenter of Advanced Clinical Learning, Emergency Medicine Residency, College of Medicine, University of South Florida, Tampa, FL 33606, USADepartment of Emergency Medicine, College of Medicine, University of South Florida, Tampa, FL 33606, USACollege of Osteopathic Medicine, Nova Southeastern University, Davie, FL 33314-7796, USAAngiotensin converting enzyme inhibitor ACEI-induced angioedema of the intestine is a rare occurrence and often unrecognized complication of ACEI. We present a case of a 45-year-old Hispanic female with angioedema of the small bowel progressing to facial and oral pharyngeal angioedema. Patients are typically middle-aged females on ACEI therapy who present to the emergency department with abdominal pain, nausea, vomiting, and diarrhea. This is a diagnosis of exclusion, and physicians must have a high index of suspicion to make the diagnosis. Symptoms typically resolve within 24–48 hours after ACE inhibitor withdrawal. Recognizing these signs and symptoms, and discontinuing the medication, can save a patient from unnecessary, costly, and invasive procedures.http://dx.doi.org/10.1155/2010/690695
spellingShingle Tabitha Campbell
Bradley Peckler
Raleigh David Hackstadt
Austin Payor
ACE Inhibitor-Induced Angioedema of the Bowel
Case Reports in Medicine
title ACE Inhibitor-Induced Angioedema of the Bowel
title_full ACE Inhibitor-Induced Angioedema of the Bowel
title_fullStr ACE Inhibitor-Induced Angioedema of the Bowel
title_full_unstemmed ACE Inhibitor-Induced Angioedema of the Bowel
title_short ACE Inhibitor-Induced Angioedema of the Bowel
title_sort ace inhibitor induced angioedema of the bowel
url http://dx.doi.org/10.1155/2010/690695
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AT bradleypeckler aceinhibitorinducedangioedemaofthebowel
AT raleighdavidhackstadt aceinhibitorinducedangioedemaofthebowel
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