Kalsiyum Asetat Alımı Sonrası Dilde Olağandışı Aşırı Şişlik: Olgu Sunumu

Year 2023, Volume: 5 Issue: 1, 17 - 19, 30.04.2023

Aleyna Dal , Bahadir Taslidere

https://doi.org/10.51262/ejtox.1236194

Abstract

Kalsiyum asetatın sık görülen yan etkileri arasında hiperkalsemi, bulantı-kusma, ishal ve halsizlik yer alırken, insidansı bilinmeyen yan etkileri arasında "şişme" yer alır. Sadece dil şişmesi ile sınırlı, diğer anafilaktik semptomları göstermeyen bir alerjik reaksiyon olgusunu sunuyoruz. Olgumuz, tedavi için kalsiyum asetat kullandıktan 3 saat sonra izole dilde şişlik şikayeti ile acil servise başvuran kadın hastaydı. İzole dilde şişlik şikayeti olan ancak nedeni belirlenemeyen hastalarda bir gıda katkı maddesi olan kalsiyum asetatın buna neden olabileceği akılda tutulmalıdır.

Keywords

Kalsiyum asetat, Dil, Yan etki

Supporting Institution

yok

Project Number

yok

Unusual Excessive Swelling of the Tongue after Calcium Acetate Ingestion: A Case Report

Abstract

Common side effects of calcium acetate include increased blood calcium levels, nausea-vomiting, diarrhea, and fatigue, while side effects of unknown incidence include "swelling". We present the case of an allergic reaction limited to tongue swelling alone, not showing other anaphylactic symptoms. Our case was a female patient who applied to the emergency department with the complaint of isolated tongue swelling three hours after using calcium acetate for treatment. It should be kept in mind that calcium acetate, a food additive, may cause this in patients with the complaint of isolated tongue swelling, but the cause of which cannot be determined.

Keywords

Calcium acetate, Tongue, side effect

Project Number

yok

References

• Wang Y, Xie G, Huang Y, Zhang H, Yang B, Mao Z. Calcium acetate or calcium carbonate for hyperphosphatemia of hemodialysis patients: a meta-analysis. PLoS One. 2015; 10(3): e0121376.
• Drugs.com. Calcium acetate Side Effects from Drugs.com; (Updated: 11 Jan 2023). Available from: https://www.drugs. com/sfx/calcium-acetate-side-effects.html
• Alharbi FA, Alharthi AA, Alsaadi FN. Perindopril-induced angioedema of the lips and tongue: a case report. Journal of Medical Case Reports. 2018; 12(1): 1-4.
• Aziz Y, Rademacher WMH, Hielema A, Wishaw SBP, van Diermen DE, de Lange J, Rozema FR. Oral adverse effects: druginduced tongue disorders. Oral diseases 2021; 27(6), 1528-1541.
• Reed LK, Meng J, Joshi GP. Tongue swelling in the recovery room: a case report and discussion of postoperative angioedema. Journal of clinical anesthesia. 2006; 18(3), 226–229.
• Coskun B, Saral Y, Ozturk P, Karincaoglu Y, Cobanoglu B. Calcium acetate-induced linear fixed drug eruption. Dermatology (Basel, Switzerland). 2005; 210(3), 244–245.
• Rossi A, Osborn L. A Case Report of Angioedema and Anaphylactic Shock Induced by Ingestion of Polyethylene Glycol. Clinical practice and cases in emergency medicine. 2020; 4(2), 189–192.
• Food additives. What’re the Uses of Calcium Acetate (E263) in Food and Hyperphosphatemia Treatment?; (Updated:14 Jan 2023). Available from: https://foodadditives.net/acidityregulator/calcium-acetate