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CASE REPORT
Isolated oedema of the uvula induced by intense snoring and ACE inhibitor
  1. Eva Rye Rasmussen1,
  2. Kristianna Mey2,
  3. Anette Bygum3
  1. 1Department of Otorhinolaryngology Head and Neck Surgery, Koege Hospital, Koege, Denmark
  2. 2Department of Otorhinolaryngology and Audiology, University Hospital of Copenhagen, Rigshospitalet/Gentofte, Hellerup, Denmark
  3. 3Department of Dermatology and Allergy Centre, Odense University Hospital, Odense C, Denmark
  1. Correspondence to Dr Eva Rye Rasmussen, eva.rye.rasmussen{at}dadlnet.dk

Summary

A case of snoring-induced angioedema of uvula is described in a patient who was treated with ACE inhibitor. The patient partially responded to complement C1-inhibitor concentrate and did not suffer any recurrences after the medication was withdrawn. When encountering a patient suffering from swellings of the orofacial area it should be considered whether the mechanism is mast-cell associated or not, as classical antiallergic treatment is ineffective in non-mast-cell-associated disease (ie, bradykinin-mediated angioedema). Other causes of uvular oedema are also discussed.

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