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All you need to know about angioedema - Trinidad and Tobago Newsday

Adeyemi Maxwell

ANGIOEDEMA is a condition characterised by swelling beneath your skin. It can happen at many points on your body, including your face, throat, larynx (your voice box), uvula (the little piece of skin that hangs from the back of your throat), arms, hands, legs or feet. It can also happen around your genitals and in your intestines. It is common to get hives at the same time.

The swelling feels like large, thick, firm welts and can cause redness, pain, or warmth in the swollen areas. Swellings can occur around the lips and tongue and can be associated with urticaria, wheals and itching in other parts of the body. If it occurs in the lower intestine, it can bring stomach pain.

Angioedema can be dangerous if swelling is in your throat or tongue. That can make it hard to breathe. If this happens, you should get medical help right away as this can rapidly constitute a medical emergency.

Types and causes

There are four types of angioedema, and they all have different causes. Allergic angioedema: This is the most common kind. Your allergic reaction can be to foods, like: shellfish, fish, peanuts, tree nuts, eggs, or milk. It could also be to: pollen, animal dander, latex and insect stings.

Drug-induced angioedema: Some medicines can trigger angioedema. They include penicillin, aspirin, other non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen. Certain blood pressure medicines called angiotensin-converting enzyme (ACE) inhibitors like enalapril, lisinopril, perindopril, captopril can also cause flare-ups that can happen quickly. Even if you've been taking ACE inhibitors for a long time, sudden reactions can still happen.

Hereditary angioedema (HAE): Though this is uncommon, it happens when your body doesn't make enough of a blood protein called C1 esterase inhibitor. This anomaly lets fluid from your blood move into other tissues, which brings swelling.

Usually, most patient have the first bout of this illness before they turn 12 years old. Sufferers may also pass the condition on to their children.

There's another very rare type called acquired angioedema that has the same symptoms as hereditary angioedema. It is different because it does not happen until one is older than 40 years. It usually happens when you have a weakened immune system. Unlike hereditary angioedema, this variant cannot be passed on to one's children.

Idiopathic angioedema: Idiopathic means there is not a known cause for the swelling. Possible culprits can include:

* Anxiety or stress

* Minor infections

* High or low temperatures

* Overdoing it when you exercise

Allergic and drug-induced angioedema usually happen within an hour of exposure to your trigger.

Hereditary and acquired types usually happen over many hours, but it can feel much faster if you wake up and suddenly discover swelling.

Risk factors that increase the chance of angioedema:

* Incident of hives, allergic reactions, or angioedema previously.

* People with history of lupus, lymphoma, thyroid

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