A Case of Angioedema Induced by Angiotensin-Converting Enzyme Inhibitor

Angiotensin-Converting Enzyme Inhibitor(ACE Inhibitor)에 의해 유발된 안면부 맥관부종(angioedema) 치험례

  • Hsia, Yu-Chun (Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital) ;
  • Jung, Ki-Yong (Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital) ;
  • Baik, Jong-Woo (Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital) ;
  • Kim, Dong-Woo (Department of Internal Medicine, College of Oriental medicine, Kyungwon University) ;
  • Park, Jong-Hyung (Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital) ;
  • Jun, Chan-Yong (Department of Internal Medicine, College of Oriental medicine, Kyungwon University) ;
  • Choi, You-Kyung (Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital)
  • 하유군 (경원대학교 인천한방병원 내과) ;
  • 정기용 (경원대학교 인천한방병원 내과) ;
  • 백종우 (경원대학교 인천한방병원 내과) ;
  • 김동우 (경원대학교 한의과대학 내과학교실) ;
  • 박종형 (경원대학교 인천한방병원 내과) ;
  • 전찬용 (경원대학교 한의과대학 내과학교실) ;
  • 최유경 (경원대학교 인천한방병원 내과)
  • Published : 2007.06.30

Abstract

Angioedema is a localized transient swelling of sudden onset that can occur in the face, lips, tongue, hand, feet, respiratory system and gastrointestinal system. Angioedema is classified as allergy, hereditary, idiopathic or induced by medication as like aspirin, nonsteroidal anti-inflammatory agents, opiates, antibiotics, and angiotensin-converting enzyme. Angiotensin-converting enzyme inhibitors are widely prescribed for hypertension and heart failure. This drug is commonly associated with angioedema which may be potentially life threatening. We experienced a case of angioedema induced by ACE inhibitor (angiotensin-converting enzyme inhibitor) in a 74-year-old patient who took ACE inhibitor to control hypertension during hospitalization. We thought the angioedema in the face had relation to myenzhong (面腫, mienjong) in oriental medicine. Weiling-tang (Wiryung-tang) was effective for angioedema in the face. As a result the symptoms disappeared rapidly. After 6 days, the patient's symptoms had notably improved.