Isolated Visceral Angioedema: An Underdiagnosed Complication of ACE Inhibitors?

Angiotensin-converting enzyme (ACE) inhibitors are known to cause potentially fatal peripheral angioedema in some patients. ACE inhibitors may also cause isolated visceral angioedema, a rarely reported complication. This article describes 2 patients who experienced this complication. Both patients c...

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Veröffentlicht in:Mayo Clinic proceedings 2000-11, Vol.75 (11), p.1201-1204
Hauptverfasser: Byrne, Thomas J., Douglas, David D., Landis, Michael E., Heppell, Jacques P.
Format: Artikel
Sprache:eng
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Zusammenfassung:Angiotensin-converting enzyme (ACE) inhibitors are known to cause potentially fatal peripheral angioedema in some patients. ACE inhibitors may also cause isolated visceral angioedema, a rarely reported complication. This article describes 2 patients who experienced this complication. Both patients came to medical attention with episodes of recurrent abdominal symptoms that had occurred while taking ACE inhibitors for hypertension. Each patient had undergone surgical procedures for symptoms that persisted after surgery and were ultimately relieved with cessation of their ACE inhibitors. These cases call attention to what may be an underappreciated cause of abdominal pain in patients presenting to emergency departments.
ISSN:0025-6196
1942-5546
DOI:10.4065/75.11.1201