Angiodema
A patient came with a complaint of swollen upper lip after
the access opening was done of the upper anterior teeth one day back. On history
taking she revealed that the swelling started last night after taking food and
her night dose of medicines. The swelling was fairly rapid in onset. On
clinical examination swelling was involving the upper lip, swelling was non
tender, no rise in temperature and the mucosa and skin above the swelling were
normal,with no reddness.
The provisional diagnosis was made of
cellulitis/angiodema. On radiographic examination there was no sign of any
periapical lesion related to anterior teeth. The patient by clinical and
radiographical evaluation was finally diagnosed as a case of angiodema due to
antibiotics prescribed. The medicines were stopped
and anti histaminics were
started. The patient returned a day later with complete resolution of the
swelling and her further dental treat- ment was started.
Although the patient’s medical history had not revealed any abnormality or any previous drug allergy yet she manifested an allergic reaction to the prescribed drugs. So the correct history, clinical and radiographical examination is indeed necessary to make the correct diagnosis and to treat it subsequently.
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