Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis.
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/1432 |
Resumo: | Aging influences the variety of pathologies observed at any internal medicine department and Allergology is not an exception. One of the main reasons of referency of the aging patients to Allergology department are the adverse drugs reactions. Reninangiotensin-aldosterone blockers are widely used in the treatment of cardiovascular pathology and angioedema is one of the possible side effects. We present the case-report of a 71-year-old woman with recurrent angioedema associated with emergency room treatment of hypertensive crisis with sublingual administration of captopril. Angioedema was controlled after captopril eviction. Later she presented with flushing episodes, that were interpreted by her medical assistant as an allergic reaction and she was sent to Allergology department for further investigation. Neuroendocrine tumor was diagnosed and collaboration with different specialities was needed for the adequate treatment. The authors discuss the aetiology of angioedema and carcinoid and the treatment options. |
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Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis.Angioedema e flushing em doente idoso. Da “alergia” ao carcinóide. A importância do diagnóstico diferencial.angioedemacarcinóidehipertensãoflushingangioedemacarcinoidhigh blood pressureflushingAging influences the variety of pathologies observed at any internal medicine department and Allergology is not an exception. One of the main reasons of referency of the aging patients to Allergology department are the adverse drugs reactions. Reninangiotensin-aldosterone blockers are widely used in the treatment of cardiovascular pathology and angioedema is one of the possible side effects. We present the case-report of a 71-year-old woman with recurrent angioedema associated with emergency room treatment of hypertensive crisis with sublingual administration of captopril. Angioedema was controlled after captopril eviction. Later she presented with flushing episodes, that were interpreted by her medical assistant as an allergic reaction and she was sent to Allergology department for further investigation. Neuroendocrine tumor was diagnosed and collaboration with different specialities was needed for the adequate treatment. The authors discuss the aetiology of angioedema and carcinoid and the treatment options.O fenómeno de envelhecimento da população tem repercussão no leque de diagnóstico diferencial dos doentes observados em qualquer consulta médica e também na consulta de Alergologia. Nesta consulta, as reacções adversas medicamentosas constituem o principal motivo de referenciação dos doentes idosos. Os fármacos que actuam no eixo renina-angiotensina-aldosterona assumem um papel cada vez mais importante no doente com patologia cardiovascular, sendo o angioedema um dos seus possíveis efeitos adversos. Apresenta-se o caso clínico de uma doente de 71 anos de idade, com internamento por angioedema labial recorrente após terapêutica de crises hipertensivas com captopril que resolveu com a evicção deste fármaco. Posteriormente, a doente foi novamente referenciada à consulta de Alergologia por flushing, interpretado pelo médico assistente como reacção alérgica de etiologia a esclarecer. A abordagem multidisciplinar permitiu o diagnóstico de tumor neuroendócrino. Os autores discutem a etiologia do angioedema e do flushing e as alternativas terapêuticas.Sociedade Portuguesa de Medicina Interna2009-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1432Internal Medicine; Vol. 16 No. 4 (2009): Outubro/ Dezembro; 239-246Medicina Interna; Vol. 16 N.º 4 (2009): Outubro/ Dezembro; 239-2462183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1432https://revista.spmi.pt/index.php/rpmi/article/view/1432/983Sokolova Ravasqueira, AnnaPalma-Carlos, GabrielaRocha, JoséBranco Ferreira, ManuelPereira Barbosa, Manuelinfo:eu-repo/semantics/openAccess2022-12-31T06:12:06Zoai:oai.revista.spmi.pt:article/1432Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:29:12.010136Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. Angioedema e flushing em doente idoso. Da “alergia” ao carcinóide. A importância do diagnóstico diferencial. |
title |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. |
spellingShingle |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. Sokolova Ravasqueira, Anna angioedema carcinóide hipertensão flushing angioedema carcinoid high blood pressure flushing |
title_short |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. |
title_full |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. |
title_fullStr |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. |
title_full_unstemmed |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. |
title_sort |
Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis. |
author |
Sokolova Ravasqueira, Anna |
author_facet |
Sokolova Ravasqueira, Anna Palma-Carlos, Gabriela Rocha, José Branco Ferreira, Manuel Pereira Barbosa, Manuel |
author_role |
author |
author2 |
Palma-Carlos, Gabriela Rocha, José Branco Ferreira, Manuel Pereira Barbosa, Manuel |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Sokolova Ravasqueira, Anna Palma-Carlos, Gabriela Rocha, José Branco Ferreira, Manuel Pereira Barbosa, Manuel |
dc.subject.por.fl_str_mv |
angioedema carcinóide hipertensão flushing angioedema carcinoid high blood pressure flushing |
topic |
angioedema carcinóide hipertensão flushing angioedema carcinoid high blood pressure flushing |
description |
Aging influences the variety of pathologies observed at any internal medicine department and Allergology is not an exception. One of the main reasons of referency of the aging patients to Allergology department are the adverse drugs reactions. Reninangiotensin-aldosterone blockers are widely used in the treatment of cardiovascular pathology and angioedema is one of the possible side effects. We present the case-report of a 71-year-old woman with recurrent angioedema associated with emergency room treatment of hypertensive crisis with sublingual administration of captopril. Angioedema was controlled after captopril eviction. Later she presented with flushing episodes, that were interpreted by her medical assistant as an allergic reaction and she was sent to Allergology department for further investigation. Neuroendocrine tumor was diagnosed and collaboration with different specialities was needed for the adequate treatment. The authors discuss the aetiology of angioedema and carcinoid and the treatment options. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1432 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/1432 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1432 https://revista.spmi.pt/index.php/rpmi/article/view/1432/983 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 16 No. 4 (2009): Outubro/ Dezembro; 239-246 Medicina Interna; Vol. 16 N.º 4 (2009): Outubro/ Dezembro; 239-246 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130749758078976 |