Hereditary Angioedema. To Swell and Back

Author: David Agombar, Philip Bewley / Editor: Jason M Kendall / Reviewer: Rebecca Ford, Amanda King / Codes: CC1, R2 / Published: 05/06/2021

A 24-year-old woman presents to the Emergency Department (ED) with increasing lip swelling over the past hour. She has a past medical history of hereditary angioedema. She is otherwise fit and well with no known allergies.

On your arrival she looks comfortable at rest and is talking in complete sentences. She has obvious large lower lip swelling. She has the following observations: blood pressure 128/70, pulse 90 regular, oxygen saturations 98% on air, respiratory rate 16 per minute.

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