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Case Reports
. 2000 May 2;162(9):1281-4.

Anaphylactoid reactions and angioedema during alteplase treatment of acute ischemic stroke

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Case Reports

Anaphylactoid reactions and angioedema during alteplase treatment of acute ischemic stroke

M D Hill et al. CMAJ. .

Abstract

Among 105 patients given recombinant tissue plasminogen activator (rt-PA, alteplase) intravenously for acute stroke, 2 (1.9%) had lingual angioedema, which progressed to a fatal anaphylactoid reaction in 1. The authors review the 2 cases and possible mechanisms responsible. They warn that patients who are taking an angiotensin-converting-enzyme inhibitor may be at increased risk for angioedema with concomitant alteplase therapy.

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