sudden onset of both lip oedema ...6 month.. not responding to any medicine. painless... what it could be? what will be apporach to this case?

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Could be a case of Angioedema... Angioedema is the rapid edema, or swelling, of the area beneath the skin or mucosa. It is normally an allergic reaction, but it can also be hereditary. The swelling happens because fluid accumulates. Angioedema can also be an acute reaction to ACE inhibitors, a chronic reaction, or a hereditary or an acquired disorder characterized by an abnormal complement response. The main symptom is swelling, which can be severe. Diagnosis is by examination. Treatment is with airway management as needed, elimination or avoidance of the allergen, and drugs to minimize swelling (eg, H1 blockers

Angioedema / Cheilitis Granulomatosa (??)

This type of lip angiomatous condition has been documented in many cases of S-R syndrome due to severe anaphylaxis following abuse of NS AIDs,etc Since it is a chronic condition ,immunosupressants may be needed based on advice of Immunologists.

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Angioedema.. Please secure the airway. Give Hydrocortisone 100mg i.v and ink. CPM i.v

Angioedema of lips Cheilitis granulomatosa Antihostamins Immunologist

Angioedema of lips Antihistamine Steroids Avoid re exposure

Thanks Dr parvin G
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Steroids, antihistomonics,avoid the re-exposure to tell cause.

Angioneurotic edema due to dye application if done

Angioedema case Steroids, antihystaminices.

angiooedema/urticaria

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