Onset of angioedema following a viper bite: different options for diagnostic procedure in an emergency department


Submitted: 9 January 2013
Accepted: 9 January 2013
Published: 29 June 2011
Abstract Views: 1401
PDF: 1268
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Authors

  • Alessandro Riccardi Pronto Soccorso e Medicina e Chirurgia d’Accettazione e d’Urgenza, Ospedale San Paolo, Savona, Italy.
  • Pierangela Minuto Pronto Soccorso e Medicina e Chirurgia d’Accettazione e d’Urgenza, Ospedale San Paolo, Savona, Italy.
  • Anna Da Col Pronto Soccorso e Medicina e Chirurgia d’Accettazione e d’Urgenza, Ospedale San Paolo, Savona, Italy.
  • Viviana Panunzio Immunoematologia e Medicina Trasfusionale, ASL 2 Savonese, Savona, Italy.
  • Roberto Lerza Pronto Soccorso e Medicina e Chirurgia d’Accettazione e d’Urgenza, Ospedale San Paolo, Savona, Italy.
The unexpected onset of an angioedema in a patient observed in the emergency department after a viper bite, gave the opportunity to consider some different etiopathogenetic hypothesis and to discuss the most correct diagnostic procedure. The patient was a 60-year-old man who was treated with sartans for hypertension and reported a recent diagnosis of monoclonal gammopathy of uncertain significance. Based on the patient history and on the clinical aspects of the angioedema, the authors consider the possibility of an acquired non-allergic angioedema and its probable close relationship with a lymphoproliferative disorder.

Riccardi, A., Minuto, P., Da Col, A., Panunzio, V., & Lerza, R. (2011). Onset of angioedema following a viper bite: different options for diagnostic procedure in an emergency department. Emergency Care Journal, 7(2), 10–12. https://doi.org/10.4081/ecj.2011.2.10

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