Angioedema and flushing in the elderly patient. From “allergy” to carcinoid tumour. Importance of the differencial diagnosis.

Detalhes bibliográficos
Autor(a) principal: Sokolova Ravasqueira, Anna
Data de Publicação: 2009
Outros Autores: Palma-Carlos, Gabriela, Rocha, José, Branco Ferreira, Manuel, Pereira Barbosa, Manuel
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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spelling 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)
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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
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