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The Journal of Internal Korean Medicine 2007;28(2): 399-407. |
| Angiotensin-Converting Enzyme Inhibitor(ACE Inhibitor)에 의해 유발된 안면부 맥관부종(angioedema) 치험례 |
| 하유군1, 정기용1, 백종우1, 김동우1, 박종형1, 전찬용2, 최유경1 |
1경원대학교 인천한방병원 내과
2경원대학교 한의과대학 내과학교실 |
| A Case of Angioedema Induced by Angiotensin-Converting Enzyme Inhibitor |
| Yu-chun Hsia1, Ki-yong Jung1, Jong-woo Baik1, Dong-woo Kim1, Jong-hyung Park1, Chan-yong Jun2, You-kyung Choi1 |
1Department of Internal Medicine, Kyungwon University In-cheon Oriental Medical Hospital
2Department of Internal Medicine, College of Oriental medicine, Kyungwon University |
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Published online: June 30, 2007. |
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| ABSTRACT |
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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 (胃苓 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. |
| Key words:
Angioedema, Angiotensin-converting enzyme inhibitor, Myenzhong(面腫, Mienjong), Weiling-tang(胃苓湯, Wiryung-tang). |
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