ANGIO-EDEMA INDUCED BY ENALAPRIL

We report the case of a patient who, 9 months after initiation of enal april and hydrochlorothiazide combination treatment for hypertension, developed angio-oedema with near fatal outcome, Our patient was succes sfully intubated using a flexible bronchofiberoscope. This case demons trates that patients given an angiotensin-converting enzyme (ACE) inhi bitor may develop serious facial and laryngeal swelling even several m onths after the initiation of treatment. The occurrence of even mild s welling should lead to prompt cessation of the drug. Patients with inc ipient ACE inhibitor-related angio-oedema should, without any delay, b e referred to hospital for emergency treatment.