The girl had H/O recurrent development of angioedema involving the face (lips, eyelids) and limbs. The lesions were painful but non-pruritic. she had no H/O dusts, cold, food or drug allergy and had no personal or family H/O atopy. None of the family members had similar diseases. Her CBC, C3, C4, C1 esterase inhibitor levels were normal. Please feel free to give your opinion regarding the following issues.
1. What type of angioedema is this?
2. Do you suggest any additional investigation?
3. What would be the treatment plan?
Regards
Harasit Kumar Paul
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
Check for c1 estrase function if the kevel is normal. What is the timing of episode? If it is always early morning check for mite allergy? What is her drug history?
2. You ought to check for H.pylori and helminths in this girl.
3. If positive, cure it. If negative, it`s necessary to check for C1 INH functionalty , and SERPING-1 mutation.
It`s necessary to find a trigger (if exists) - fisical, emotianal, trauma (for HAE).
Shaimaa Hani Fouad, thanks for your suggestions. Now the patient is on oral Loratidine and montelukast on a regular basis. There is no fixed timing for development of the lesions.
Inessa Vorontsova, you suggestions are highly appreciated. Thanks for your interest on the topic.
I HAVE ONE CASE LIKE THIS CASE AND ALL LAB TEST OK
AND CONTROLLED BY
ANTIHISTAMINE + SINGULAR + PULSE COURSE OF CORTICOSTEROIDS