Quincke edema
or quincke's edema is another common name of angioedema. Quincke edema is the
rapid swelling of the human skin resulting in the swelling of dermis,
subcutaneous tissue, mucosa, and submucosal tissues. Usually, the
swelling lasts a few hours and does not threaten the life of the
patient. However, if the swelling progresses rapidly, it can block the
upper airway and result in suffocation, in which case the patient
should seek medical attention immediately. Epinephrine is a life saving
drug in cases of acquired angioedema, but it is not very effective in
familial angioedema.
The most common and obvious symptom is swelling, which can develop
abruptly 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, such as the hands and feet. The swelling may result in
itching, burning sensation, and pain. Urticaria (hives) may also
develop along with it. Sometimes, the patient may also have difficulty
breathing.
Quincke edema can be caused by many
factors: allergies (e.g. pollen or food allergy), drugs (e.g. NSAIDS,
aspirin, blood pressure medicines, ibuprofen, and other antibiotics),
insect bites, hair dyes, any other underling diseases (e.g. Hodgkin,
leukemia, lupus) or it can be simply a hereditary disease.
There are two types of Quincke edema: Acquired Quincke edema and
Hereditary Quincke edema. As apparent by their names, the first one
occurs in response to allergies and other factors, while the second one
is a familial problem.
When trying to treat acquired Quincke edema, epinephrine has been very
successful, but it does not treat hereditary Quincke edema as
successfully. For a proper diagnosis, you may have an allergy test done
by a professional. Urine and blood tests are helpful in determining
whether you have Quincke edema. Antihistamines and certain other
therapies are also quite helpful. One thing to bear in mind is not to
take any other drug when you are suffering with Quincke edema.
P.S. (from
Dr. Gary M. Levin, M.D. & Surgeon)
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