Angioedema was
referred to as angioneurotic oedema in the past, why, will be
explained later. Still there is a long list of names of this disease
e.g. quinke's edema or
quincke edema. The rest of the article explains the details of this
disease.
In the past, it was believed that nervous system has some involvement
with angioedema. Therefore, the term angioneurotic oedema
was used to refer to this skin problem. However, recent studies have
revealed that this is not the case indeed and angioedema has other
causes and symptoms.
Quincke's edema is another commonly
used name for angioedema. It is characterized by the rapid swelling of
the human skin. Mostly, the swelling does not cause itching but it may
be painful sometimes. In most of the cases, the swelling only lasts for
a few hours whereas in severer cases, swelling can last up to more than
six weeks.
There are two major sub-types of quincke's edema: acquired quincke's
edema which usually results in response to allergies or autoimmune
causesand hereditary quincke's edema which is a familial problem and
passes down the problems.
The common symptom of quincke's edema is swelling, which develops
rapidly on the eyes, lips, tongue and throat. However, it is not
limited to these areas only, and any other part of the body can also be
affected e.g. hands, arms and feet etc. the swelling in the upper
airway or mouth can result in suffocation and must be treated as a
medical emergency. In some cases Urticaria (hives) may also develop
along with it.
When it comes to treating acquired Quincke's edema, epinephrine
has been a great success but in case of hereditary Quincke edema, the
results vary greatly. It is recommended that for a proper diagnosis you
may have an allergy test by a qualified doctor. Urine and blood tests
can be helpful in diagnosing if you are infected by Quincke's edema or
not. Certain antihistamines, cinnarazine and many other drugs, and
certain therapies e.g. Chinese acupuncture are quite helpful in the
treatment.
P.S. (from
Dr. Gary M. Levin, M.D. & Surgeon)
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