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Life-threatening ACE inhibitor-induced angioedema after eleven years on lisinopril
Johanna L Norman1, Whitney L Holmes, William A Bell
1Le Bonheur Children's Hospital, Memphis, TN, USA.
Abstract:
Angiotensin-converting enzyme inhibitors (ACE-Is) are the primary medication class implicated in drug-associated angioedema. Angioedema is most common early in ACE-I therapy, yet episodes can occur late in therapy and have been reported even as late as 10 years after single treatment initiation. We present a case of a 65-year-old African American woman who experienced 2 episodes of angioedema, with the second being life threatening after receiving several concomitant agents known to cause angioedema, most notably lisinopril for 11 years.
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