A 68-year-old man with angioedema due to Enalapril

Abstract

A 68-year-old man presents to the emergency department with nausea, drolling, and swelling of his tongue that began 3 hours earlier. The patient reports previous episodes of swelling of his lip and tongue about 4 years ago, that have been attributed possibly to drug reaction. There is no family history of similar episodes. Physical examination reveals a swollen tongue and hypertension, drooling, flushing, and no rash, bronchospasm, or urticaria.