Facial edema Abdominal edema Laryngeal edema
1 2 + - - 3 4 + - + 5 - - - 6 7 - - - 8 + + - 9 C4 (g/L) C1-INH (g/L) (normal range (normal range Patient No.
was accessed daily via cuff-leak pressure test.
, fatal laryngeal edema
occurred in three patients previously undiagnosed with HAE.
Indirect laryngoscopic examination revealed moderate laryngeal edema
mostly on right aryepiglottic fold.
Video-laryngoscopy confirmed that there was no laryngeal edema
caused by iatrogenic injury, especially with multiple bronchoscope insertions, appeared as hoarseness.
After extubation there were no signs of laryngeal edema
or airway obstruction.
Zacharisen et al.8 reported two patients with immediate hypersensitivity reaction to tomato in the form of laryngeal edema
. On investigation they found that it was due to IgE binding to 943 KDa protein.
Occurrence of life threatening wheezing, laryngeal edema
, or anaphylactic shock in stings were produced by a substance called precipitin.
Moderate allergic reactions (e.g., bronchospasm, mild laryngeal edema
, vasovagal reactions) are less common and commonly need treatment.