An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution ...

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" An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx "
Wagner, Jonathan G.; Bench, Elias M.; Plantmason, Lee

Document Type	:	AL
Record Number	:	933443
Doc. No	:	LA6sz1k5r3
Language of Document	:	English
Main Entry	:	Wagner, Jonathan G.; Bench, Elias M.; Plantmason, Lee
Title & Author	:	An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx [Article]\ Wagner, Jonathan G.; Bench, Elias M.; Plantmason, Lee
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	16/7
Date	:	2015
Abstract	:	A 52-year-old African American male with a long history of poorly controlled hypertension presented to the emergency department (ED) with two days of genital edema and pain. During ED work-up, the patient developed sudden onset of non-pitting, non-pruritic, and non-urticarial upper lip edema. Review of his antihypertensive medication list revealed that he normally took benazepril, highly suggestive of a diagnosis of angiotensin-converting-enzyme inhibitor-related angioedema (ACEI-RA). We present the first reported case of penile ACEI-RA that progressed to involve the oropharynx. The ED management of the condition and some of the newer treatment options available for ACEI-RA is also briefly discussed.