At kestanesi (aesculus hippocastanum) yenmesine bağlı gelişen akut ürtiker ve anjioödem: olgu sunumu

Yıl 2012, Cilt: 18 Sayı: 1, 37 - 38, 01.02.2012

Emine Akıncı Oğuzhan Oğuztürk Figen Coşkun

Öz

Acute urticaria and angioedema, which can develop due to various causes, are common life threatening condition seen in emergency departments (EDs). The literature includes reports of angioedema cases developing after contacting various plants and seeds. We present the case of a 47-year-old male patient who developed acute urticaria and angioedema after eating horse-chestnut (aesculus hippocastanum). The patient presented to the ED with redness and irritation spread around the body and swelling of the tongue, all of which had started approximately one hour after consuming horse-chestnut. The patient was found to have a minimal uvular and upper lip edema, bilateral teeth marks on his tongue, and widespread maculopapular eruptions all over his body. He was treated with intravenous steroid and antihistaminic. After an 8-hour observation period, the signs and symptoms of the condition abated and the patient was discharged with suggestions.

Anahtar Kelimeler

Urticaria, Acute Disease, Middle Aged, Male, Aesculus, Angioedema, Hypersensitivity, Immediate

Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report

Öz

Birçok sebebe bağlı gelişebilen akut ürtiker ve anjioödem acil servislerde sık karşılaşılan yaşamı tehdit edebilen durumlardan biridir. Birçok bitki ve tohumlarına bağlı anjioödem olguları bildirilmiştir. Biz at kestanesi (aesculus hippocastanum) yedikten sonra akut ürtiker ve anjioödem gelişen 47 yaşındaki hastamızı sunuyoruz. Hasta acil servise at kestanesi yedikten yaklaşık 1saat sonra vücutta kızarıklık kaşıntı, dilde şişme şikâyeti ile başvurdu. Fizik muayenesinde de minimal uvula ödemi, tüm vücutta yaygın, makulopapüler döküntüsü tespit edildi. Hasta intravenöz steroid ve antihistaminikle tedavi edildi. Belirti ve bulguları 8 saat sonunda gerileyen hasta gerekli öneriler ile taburcu edildi.

Anahtar Kelimeler

Ürtiker, Akut hastalık, Orta yaşlı, Erkek, Aesculus, Anjiyoödem, Aşırı duyarlılık, erken

Kaynakça

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