Angioedema Flashcards

1
Q

What is angioedema and its common association?

A

Swelling of cutaneous and/or mucosal tissue due to vascular leakage, often associated with urticaria.

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2
Q

What is a key element in the pathophysiology of allergic reactions related to angioedema?

A

IgE-mediated mast cell activation and degranulation.

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3
Q

What percentage of the population may experience angioedema at some point in their lives?

A

10-20%.

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4
Q

What are some common signs and symptoms of angioedema?

A

Swelling of the face, tongue, hands, feet, throat tightness, voice changes, trouble breathing, local burning sensation, and pain.

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5
Q

What should be considered in acute and new-onset angioedema cases?

A

Potential relationship with food or drug intake, insect stings, or other unusual exposures.

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6
Q

What is a significant characteristic of chronic and recurrent angioedema cases?

A

Potential triggers, medication use, associated medical history, family history, and past evaluation.

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7
Q

What is the most common type of chronic angioedema?

A

Idiopathic.

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8
Q

What differentiates pseudoallergic angioedema from allergic angioedema?

A

Pseudoallergic is not IgE-mediated but has a similar clinical course and presentation.

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9
Q

What is a prototype of non-allergic angioedema?

A

Hereditary angioedema (HAE).

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10
Q

What is a common treatment response indicator for idiopathic angioedema?

A

Response to antihistamines, suggesting mast cell activation.

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11
Q

What is the primary characteristic of idiopathic angioedema?

A

The cause is often unclear.

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12
Q

What is a common treatment for mild to moderate angioedema?

A

Antihistamines are often used as the first-line treatment.

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13
Q

How is severe angioedema with laryngeal swelling managed?

A

Close monitoring of the airway and administration of epinephrine are necessary.

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14
Q

What differentiates angioedema from urticaria in terms of skin involvement?

A

Angioedema involves deeper layers of skin and submucosal tissue, while urticaria affects more superficial layers.

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15
Q

What is a suggested initial intervention for idiopathic recurrent angioedema?

A

A trial of non-sedating antihistamines administered twice daily.

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16
Q

What is a common feature of urticaria but less so in angioedema?

A

Pruritus (itching) is a major feature of urticaria.

17
Q

What type of infections can be associated with angioedema?

A

Bacterial, parasitic, and viral infections.

18
Q

What is the role of prophylactic second-generation antihistamines in severe angioedema?

A

They help reduce the severity or frequency of attacks.

19
Q

What is a common medication used for moderate to severe angioedema cases?

A

Diphenhydramine (50 mg IM/IV).

20
Q

What is a key difference in mucosal involvement between angioedema and urticaria?

A

Mucosal involvement is common in angioedema but not in urticaria.