While typically found on the face, swelling may also occur on the hands, feet, and genitals. Angioedema can be accompanied by urticaria (hives) or can occur on its own. Welts may be painful, raised, firm, and/or itchy. Occasionally, patients experience a swollen airway, which can result in difficulty breathing or swallowing and is considered a medical emergency.
Allergic reactions to food such as shellfish and peanuts, medication (aspirin, ibuprofen, and penicillin, among others), and insect bites can result in allergic angioedema, which is the most common type. Non-allergenic angioedema results from the use of certain medication including ACE inhibitors. Rarely, hereditary (genetic) angioedema is associated with an immune system dysfunction.
Diagnosis & Treatment Options
A clinical exam by one of our experienced allergy specialists will enable us to begin the process of identifying allergens that may be causing your angioedema. Depending on your individual symptoms and history, we offer diagnostic procedures including skin testing, food challenges, and blood testing.
We will discuss avoidance measures to decrease the burden placed on your body by the allergen. If this does not solve the problem, we have several treatment options available, including medications and immunotherapy (allergy shots). Immunotherapy builds up tolerance to specific allergens. Patients who go the allergy shot route frequently receive a personalized, tailored Cluster Immunotherapy plan from Dr. Schulte, which provides faster results than traditional immunotherapy.
Angioedema (Swelling) Facts
Source: Merck Manuals
30% of acute angioedema cases seen in the ER are linked to the use of ACE inhibitors.
Source: US Hereditary Angioedema Association
Children have a 50% chance of inheriting hereditary angioedema if one of the parents has the disease.
Source: U.S. Pharmacist
Angioedema occurs in around 15% of the population.