Stručni rad
Acute Angioedema and Urticaria Associated with Herpes Simplex Infection
Pornpan Youngnak-Piboonratanakit
; Stomatološki fakultet, Chulalongkorn Sveučilište, Bangkok,Tajland
Yuzo Takahashi
; Stomatološki fakultet, Medicinsko sveučilište, Tokio, Japan
Yusuke Nakajima
; Stomatološki fakultet, Medicinsko sveučilište, Tokio, Japan
Ken Omura
; Stomatološki fakultet, Medicinsko sveučilište, Tokio, Japan
Sažetak
We report a case of acute angioedema and urticaria, which is possibly induced by herpes simplex virus infection. A Japanese 58-year-old male patient presented urticaria including cutaneous erythematous rashes at extremities and trunk. He also developed angioedema which was characterized by swelling of lips, tongue, face, and periorbital tissue with difficulty in breathing, speaking, and fullness in throat. Six days later, crusted ulcers were detected on lower lip. Complete blood studies and biochemical screening examination, antibody titers for viral infections, urinalysis and scratch test for drug hypersensitivity have been investigated. Interestingly, serum complement fixation antibody titer for HSV howed high titer at 1:32. Accompanied by oral ulcerations, he was diagnosed as herpes labialis. The patient was admitted and treated intravenously with antihistamine, penicillin, and corticosteroid. After 3 days of treatment, his symptoms significantly improved. From 3-year followup, he had not developed angioedema and urticaria. This letter shows clinical pictures, treatment and possibility of the relation of angioedema and urticaria with herpes simplex virus infection. However, one should also consider the possibility of coincidence of herpes simplex virus infection.
Ključne riječi
Angioedema; Simplex virus; Urticaria; Herpes Labialis
Hrčak ID:
21256
URI
Datum izdavanja:
15.3.2008.
Posjeta: 8.137 *