PMID- 26466692 OWN - NLM STAT- MEDLINE DCOM- 20160427 LR - 20181202 IS - 1349-7235 (Electronic) IS - 0918-2918 (Linking) VI - 54 IP - 20 DP - 2015 TI - Angiotensin-converting enzyme inhibitor-induced angioedema and hereditary angioedema: a comparison study of attack severity. PG - 2583-8 LID - 10.2169/internalmedicine.54.4181 [doi] AB - Objective There appears to be differences in the clinical presentation of hereditary angioedema (HAE) and angiotensin-converting enzyme inhibitor-induced (ACE-I) angioedema (AE). The aim of this study was to compare the clinical characteristics of these two AE forms. Methods We conducted a retrospective study of consecutive patients with HAE or ACE-I AE. The attack characteristics experienced by the patients were compared by a logistic regression analysis using generalized estimating equations. Results A total of 56 patients were included in this study (ACE-I AE, n=25; HAE, n=31). A total of 534 attacks were documented. Severe attacks were more common in the patients who had an acute episode of ACE-I AE than HAE. Swelling of the tongue, lips and larynx were significantly associated with ACE-I AE [OR: 8.70 (95% CI, 1.04-73.70), OR: 20.4 (95% CI, 4.9-84.2) and OR: 7.50 (95% CI, 1.20-48.30), respectively]. Conclusion Swelling of the tongue, lips and larynx are significantly more frequent in drug-induced AE than HAE. FAU - Javaud, Nicolas AU - Javaud N AD - Emergency Department, Angioedema Reference Center (CReAk), Public Assistance Hospital of Paris, University Hospital of Jean Verdier, France. FAU - Charpentier, Stephane AU - Charpentier S FAU - Lapostolle, Frederic AU - Lapostolle F FAU - Lekouara, Hakim AU - Lekouara H FAU - Boubaya, Marouane AU - Boubaya M FAU - Lenoir, Gilles AU - Lenoir G FAU - Mekinian, Arsene AU - Mekinian A FAU - Adnet, Frederic AU - Adnet F FAU - Fain, Olivier AU - Fain O LA - eng PT - Comparative Study PT - Journal Article DEP - 20151015 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Immunosuppressive Agents) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Angioedema/chemically induced/diagnosis/*pathology MH - Angioedemas, Hereditary/diagnosis/*pathology MH - Angiotensin-Converting Enzyme Inhibitors/administration & dosage/*adverse effects MH - Female MH - Humans MH - Immunosuppressive Agents/adverse effects MH - Larynx/drug effects/*pathology MH - Lip/drug effects/*pathology MH - Male MH - Middle Aged MH - Retrospective Studies MH - Severity of Illness Index MH - Tongue/drug effects/*pathology MH - Young Adult EDAT- 2015/10/16 06:00 MHDA- 2016/04/28 06:00 CRDT- 2015/10/16 06:00 PHST- 2015/10/16 06:00 [entrez] PHST- 2015/10/16 06:00 [pubmed] PHST- 2016/04/28 06:00 [medline] AID - 10.2169/internalmedicine.54.4181 [doi] PST - ppublish SO - Intern Med. 2015;54(20):2583-8. doi: 10.2169/internalmedicine.54.4181. Epub 2015 Oct 15.