Angioedema intestinal aislado inducido por enalapril / Isolated intestinal angioedema induced by enalapril
Medicina (B.Aires)
; 78(1): 41-43, feb. 2018. ilus
Article
in Es
| LILACS
| ID: biblio-894546
Responsible library:
BR1.1
RESUMEN
El angioedema inducido por inhibidores de la enzima convertidora de angiotensina es una entidad poco frecuente caracterizada por edema en piel y mucosas, debido al aumento de la permeabilidad vascular provocada por la inhibición de la enzima convertidora y el subsiguiente aumento de la bradiquinina. De manera frecuente cursa con compromiso facial y de mucosas, siendo infrecuente el compromiso intestinal o de vía aérea. El angioedema intestinal puede presentarse asociado a angioedema facial o aislado, siendo este último excepcional. Cursa con episodios recurrentes de dolor, distensión abdominal y diarrea acuosa con recuperación completa en dos o tres días. Si bien es una entidad poco frecuente, el hecho de que esté asociada a fármacos utilizados con frecuencia nos hace incluirla en el diagnóstico diferencial del dolor abdominal recurrente. Presentamos un caso de angioedema intestinal aislado, asociado al uso de enalapril.
ABSTRACT
Angioedema induced by angiotensin converting enzyme inhibitors is a rare entity characterized by skin and mucosal edema, due to increased vascular permeability caused by inhibition of the converting enzyme and subsequent increase in bradykinin. It frequently presents with facial and mucosal involvement, being uncommon the intestinal or airway compromise. Intestinal angioedema may be associated with facial or isolated angioedema, the latter being exceptional. It is associated with recurrent episodes of pain, abdominal distention and watery diarrhea which complete recovery in two or three days. Although it is a rare entity, the fact that it is associated with frequently used drugs makes us include it in the differential diagnosis of recurrent abdominal pain. We report a case of isolated intestinal angioedema associated with the use of enalapril.
Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Enalapril
/
Intestinal Diseases
/
Angioedema
/
Antihypertensive Agents
Limits:
Aged
/
Female
/
Humans
Language:
Es
Journal:
Medicina (B.Aires)
Journal subject:
MEDICINA
Year:
2018
Document type:
Article
Affiliation country:
Argentina