Non-Histaminergic Angioedema Following Infection with COVID-19

Sheza Malik, Basil George Verghese, S Shahzad Mustafa
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Abstract

Non-respiratory manifestations of COVID-19, including dermatological manifestations, have been reported, and although urticaria associated with COVID-19 has been reported, there have been no reports of non-histaminergic angioedema following infection with mild COVID-19. Non-histaminergic angioedema has a gradual onset and is characterized by submucosal swelling without accompanying urticaria or pruritus, and poor response to antihistamines and corticosteroids. We report a case of non-histaminergic angioedema in a 29-year-old woman with a history of mild COVID-19 infection. Our case highlights the fact that early diagnosis of non-histaminergic angioedema in mild COVID-19 patients is crucial for effective treatment and requires a high level of suspicion from both general and emergency physicians.
COVID-19感染后的非组胺性血管性水肿
已报道了COVID-19的非呼吸道表现,包括皮肤表现,尽管已报道了与COVID-19相关的荨麻疹,但尚未报道轻度COVID-19感染后出现非组胺能性血管性水肿。非组胺能性血管性水肿发病缓慢,特征为粘膜下肿胀,不伴有荨麻疹或瘙痒,对抗组胺药和皮质类固醇反应差。我们报告一例29岁女性非组胺能性血管性水肿,有轻度COVID-19感染史。我们的病例强调了这样一个事实,即轻度COVID-19患者的非组胺能性血管性水肿的早期诊断对于有效治疗至关重要,需要普通医生和急诊医生的高度怀疑。
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