Evaluation of the Clinical and Laryngoscopic Findings in Patients with Angio-oedema: An 11-Year Experience at a Single Tertiary Care Centre.

Journal Article

To evaluate the clinical features of angio-oedema (AE) and their correlation with fibre-optic nasolaryngoscopy (FNL) findings.The charts of adult AE patients for 225 episodes who were admitted as in-patients from January 2002 through December 2012 were reviewed.Of the 51 episodes (22.6%) with laryngeal swelling, 16 had exclusively laryngeal swelling; without oropharyngeal swelling. Swelling of the laryngeal structures on FNL was not significantly associated with a suspected aetiology or history of AE or allergies. Dysphagia (p = 0.033) and swelling of the posterior pharyngeal wall (p = 0.011) were the only clinical features that had a significant positive correlation with laryngeal swelling.All patients with AE should undergo a FNL examination as part of the initial assessment. Patients with dysphagia and posterior pharyngeal wall swelling on clinical examination has significant positive correlation with laryngeal swelling on scopy examination; hence these patients should be referred to the otolaryngologist and to a facility with intensive care unit care as early as possible for safe management.

Full Text

Cited Authors

  • Sudhakar, K; Areti, YK; Kurnutala, LN; Jibara, G; Lashley, SM; Nanduri, SB; Chami, PS; Kakoory, MT; Maynard, CA

Published Date

  • March 9, 2016

Published In

PubMed ID

  • 27617911

Pubmed Central ID

  • 27617911

Electronic International Standard Serial Number (EISSN)

  • 2309-5830

International Standard Serial Number (ISSN)

  • 0043-3144

Digital Object Identifier (DOI)

  • 10.7727/wimj.2015.393

Language

  • eng