PMID- 30290087
OWN - NLM
STAT- MEDLINE
DCOM- 20181106
LR  - 20181106
IS  - 0093-7347 (Print)
IS  - 0093-7347 (Linking)
VI  - 87
IP  - 2
DP  - 2016 Aug
TI  - Itchy Lip-Swollen Tongue Swollen Lip It's not Always an Allergy to Dental 
      Materials; Angioederna- Possibly Life Threatening! You Might See This in Your 
      Practice.
PG  - 12-13
AB  - When providing dental treatment, the dental clinician (DC) is expected to be 
      knowledgeable in recognition and emergency management of an allergic response. 
      Common manifestations of localized allergic responses can present as a rash or 
      hives (urticaria), running of the nose, and swelling of the lips, eyes, face, 
      respiratory and gastrointestinal mucosa. More critically, there is the potential 
      for breathing difficulties from laryngeal swelling. Airway obstruction can be 
      potentially life threatening.' Anaphylactic shock can be another serious 
      reaction. Although most of these allergic responses can be minimal and managed 
      with an antihistamine (diphenhydramine), more serious allergic reactions (marked 
      breathing difficulty, anaphylaxis) may require the use of an intramuscular 
      injection of epinephrine. This case report describes a patient who had what 
      appeared to be a common allergic response to some aspect of dental materials or 
      treatment but was subsequently diagnosed with an allergic condition known as 
      angioedema (AE) that had the potential to be non-responsive to dental office 
      emergency medications. AE may be due to the more common histamine generated 
      process as described below. However, if the patient's AE is due to alternate 
      pathophysiology, the DC may not be able to manage breathing difficulties due to 
      airway swelling, which could be rapidly fatal.
FAU - Cohen, Harold V
AU  - Cohen HV
FAU - Marano, Jacquelyn
AU  - Marano J
FAU - Abbas, Ali
AU  - Abbas A
FAU - Haribabu, Prashanth Konatham
AU  - Haribabu PK
FAU - Quek, Samuel Y P
AU  - Quek SYP
FAU - Subramanian, Gayathri
AU  - Subramanian G
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - J N J Dent Assoc
JT  - Journal of the New Jersey Dental Association
JID - 0420021
RN  - 0 (Dental Materials)
MH  - Angioedema/*diagnosis/physiopathology
MH  - Dental Materials/adverse effects
MH  - Diagnosis, Differential
MH  - Humans
MH  - Hypersensitivity/diagnosis
MH  - Lip Diseases/*diagnosis/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Tongue Diseases/*diagnosis/physiopathology
EDAT- 2016/08/01 00:00
MHDA- 2016/08/01 00:01
CRDT- 2018/10/06 06:00
PHST- 2018/10/06 06:00 [entrez]
PHST- 2016/08/01 00:00 [pubmed]
PHST- 2016/08/01 00:01 [medline]
PST - ppublish
SO  - J N J Dent Assoc. 2016 Aug;87(2):12-13.