Angioneurotic edema: report of two cases

Abstract

Pediatric angioedema exhibits a different cause and clinical manifestations than does adult angioedema. Unlike angioedema in adults, pediatric angioedema is caused mostly due to food, followed by insect bites, infection and antibiotics. Reactions to insect stings, both allergic and toxic, are commonly seen in medical pediatric practice but uncommonly encountered by pediatric dentists. Here we present two cases of angioedema involving the face mainly in children who presented insect bite in the affected region. Treatment and case resolution are described.

giant urticaria; angioneuroticedema; allergy; pruritis

• ¹
  Shafer WG, Hine MK, Levy BM. Physical and chemical injuries of the oral cavity. A textbook of oral pathology .5th ed. Philadelphia: W.B. Saunders; 2006. p.719-87.
• ²
  Prasad PS. Urticaria. Indian J Dermatol Venereol Leprol. 2001; 67: 11-20.
• ³
  Booker GM, Adam HM. Insect Stings. Pediatr Rev. 2005; 26: 388-9
• ⁴
  Golden DB. Insect sting anaphylaxis. Immunol Allergy Clin North Am. 2007; 27: 261-72.
• ⁵
  Warner JO. Anaphylaxis; the latest allergy epidemic. Pediatr Allergy Immunol. 2007; 18: 1-2.
• ⁶
  Greaves MW, Lawlor F. Angioedema; manifestations and management. J Am Acad Dermatol. 1991; 25: 155-61.
• ⁷
  Champion RH, Roberts SOB, Carpenter RG, Roger JH. Urticaria and angioedema: a review of 554 patients. Br J Dermatol. 1969; 81: 588-97.
• ⁸
  Shah UK, Jacobs IN. Pediatric angioedema: ten year's experience. Arch Otolaryngol Head Neck Surg. 1999; 125: 791-5.
• ⁹
  Quercia O, Emiliani F, Foschi FG, Stefanini GF. Unusual reaction to hymenoptera sting: a case of Schonlein-Henoch purpura. Allergy. 2007; 62: 333-4.

Publication Dates

• Publication in this collection
  04 June 2013
• Date of issue
  Dec 2012

History

• Received
  25 Apr 2012
• Accepted
  23 June 2012