ACEi-Induced Angioedema Worsened with FFP

Abstract Fresh frozen plasma (FFP) has been used as an intervention for hereditary angioedema and for angioedema induced by the use of angiotensin-converting enzyme inhibitors (ACEi). The mediator for both types of attacks is believed to be bradykinin. FFP would seem a reasonable treatment because i...

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Veröffentlicht in:The American journal of emergency medicine 2016
Hauptverfasser: Wilkerson, R. Gentry, MD, Adebayo, Omoyemi, MD
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container_title The American journal of emergency medicine
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creator Wilkerson, R. Gentry, MD
Adebayo, Omoyemi, MD
description Abstract Fresh frozen plasma (FFP) has been used as an intervention for hereditary angioedema and for angioedema induced by the use of angiotensin-converting enzyme inhibitors (ACEi). The mediator for both types of attacks is believed to be bradykinin. FFP would seem a reasonable treatment because it contains enzymes that break down bradykinin; however, it also contains high-molecular-weight kininogen and kallikrein, the substrates required to form it. To balance case reports describing the resolution of ACEi-induced angioedema after administration of FFP, we describe the worsening of angioedema after its administration to a 68-year-old man who had been taking lisinopril for a year.
doi_str_mv 10.1016/j.ajem.2016.06.089
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title ACEi-Induced Angioedema Worsened with FFP
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