Luxatio erecta

✍ Scribed by Edward L McNeil

• Publisher: Elsevier Science
• Year: 1984
• Tongue: English
• Weight: 552 KB
• Volume: 13
• Category: Article
• ISSN: 1097-6760
• DOI: 10.1016/s0196-0644(84)80044-x

✦ Synopsis

CORRESPONDENCE

ripheral edema or skin rash. An ECG showed no acute changes. Chest and soft tissue neck films were unremarkable. Arterial blood gases obtained on 2 L nasal prong oxygen showed PO 2 of 153, PCO 2 of 30, and pH of 7.47.

The patient was treated immediately with diphenhydramine HC1 (Benadryl) 25 mg IV, hydralazine 10 mg IV, and hydrocortisone 100 mg IV. Epinephrine was not administered because of her systemic arterial hypertension. Over the ensuing hour the glossopharyngeal swelling decreased markedly. She did not require intubation. Her blood pressure fell to 150/90 mm Hg. She was hospitalized and maintained on IV fluids and was discharged 24 hours later. At the time of discharge, the angioedema was completely resolved.

The case described demonstrates the development of angioedema following captopril ingestion. Although mentioned as a possible side effect of captopril, 1 angioedema resulting from captopril has not Been reported previously. Fortunately this potentially fatal adverse reaction was reversible in our case.