From suspicion of angioedema to the diagnosis of lung cancer Case report

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Published: Nov 2, 2020
DOI: https://doi.org/10.24292/01.OR.320251020
Keywords:
angioedema, AAE, HAE, superior vena cava syndrome, lung cancer

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Łukasz Moos
Department of Internal Medicine with Division of Allergology, Institute of Medical Sciences, University of Opole
Wojciech Żurek
Department of Internal Medicine with Division of Allergology, Institute of Medical Sciences, University of Opole
Katarzyna Kapeluszna
Department of Internal Medicine with Division of Allergology, Institute of Medical Sciences, University of Opole
Zenon Brzoza
Department of Internal Medicine with Division of Allergology, Institute of Medical Sciences, University of Opole

Abstract

Angioedema is a localized and self-limiting oedema of the subcutaneous and submucosal tissue.


Case presentation: 73-year-old man was admitted to the Division of Allergology with the diagnosis of angioedema. Detailed physical examination led to the suspicion of superior vena cava syndrome with secondary face swelling. Biopsy revealed metastasis of small cell carcinoma in superclavicular lymph nodes.


Conclusions: Facial swelling, especially recurrent and non-inflammatory, is often, but not always caused by angioedema. Insightful differential diagnosis is crucial before making the final one.

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How to Cite
1.
Moos Łukasz, Żurek W, Kapeluszna K, Brzoza Z. From suspicion of angioedema to the diagnosis of lung cancer. OncoReview [Internet]. 2020Nov.2 [cited 2024Apr.18];10(3(39):108-12. Available from: https://www.journalsmededu.pl/index.php/OncoReview/article/view/1102
Issue
Vol 10 No 3(39) (2020)
Section
PERSONALIZED ONCOLOGY
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References

1. Cicardi M, Aberer W, Banerji A et al. Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group. Allergy. 2014; 69(5): 602-16.
2. Fok JS, Katelaris CH. Angioedema Masqueraders. Clin Exp Allergy. 2019; 49(10): 1274-82.
3. Pope C, Gopala Pillai SK. Intermittent facial swelling. Case Reports. 2014; 2014. https://doi.org/10.1136/bcr2013202355-bcr2013202355.
4. Caralli M, Zubeldia J, Alvarez-Perea A et al. One of the Faces of Facial Swelling: Melkersson-Rosenthal Syndrome. J Investig Allergol Clin Immunol. 2018; 28(4): 265-7.
5. Straka C, Ying J, Kong F-M et al. Review of evolving etiologies, implications and treatment strategies for the superior vena cava syndrome. Springerplus. 2016; 5(1): 229.
6. Rowell NP, Gleeson FV. Systematic Review Steroids, Radiotherapy, Chemotherapy and Stents for Superior Vena Caval Obstruction in Carcinoma of the Bronchus: a Systematic Review. Clin Oncol. 2002; 14: 338-51.
7. Lepper PM , Ott SR, Hoppe H et al. Superior Vena Cava Syndrome in Thoracic Malignancies. Respir Care. 2011; 56(5): 653-66.
8. Würschmidt F, Bünemann H, Heilmann H-P. Small cell lung cancer with and without superior vena cava syndrome: A multivariate analysis of prognostic factors in 408 cases. Int J Radiat Oncol. 1995; 33(1): 77-82.