Telmisartan-induced angioedema: A rare clinical finding

Abstract

Angioedema is swelling that mostly involves the soft tissue of the eyelids, nose, throat, tongue, mouth, or genitals. Angiotensin converting enzyme inhibitors induced angioedema is a rare but potentially dangerous adverse effect. A 52-year-old female patient attended the emergency department with the history swelling over the eyes and face past 3 days and having difficulty in swallowing of the food. Her medical history revealed that the patient was recently diagnosed with hypertension and was on the combination of Telmisartan and Amlodipin (40 mg + 5 mg). The medicines were immediately stopped and the patient was managed symptomatically for angioedema. The symptoms declined after 5 days of discontinuity of medicines. The case report can be considered as rare adverse effects of the Telmisartan. Angiotensin receptor blockers induced angioedema is a rare presentation.

Keywords: Angioedema; angiotensin receptor blockers; telmisartan.

Figure 1

Edema and ecchymosis over the right eye

Figure 2

Pharyngeal wall, uvula, B/L tonsils , anterior and posterior pillars congestion