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Image Based Question – 65495

Question

A patient presented with anaphylactic reactions developed a condition as shown in the picture below. Which drug from the following is not helpful for treating this condition ?

A. Adrenaline.

B. Corticosteroid.

C. Antihistaminics.

D. Sodium chromoglycate.

 

Show Answer

Correct Answer » D

Explanation

Ans:D. Sodium Chromoglycate.

The patient shown in the picture above develop a condition known as Angioedema.

Angioedema

  • Angioedema is the swelling of deep dermis, subcutaneous, or submucosal tissue due to vascular leakage.
  • Acute episodes often involve the lip, eyes, and face however, angioedema may affect other parts of body, including respiratory and gastrointestinal (GI) mucosa. Laryngeal swelling can be life-threatening.
  • Treatment:
    • Airway protection is the most important consideration with laryngeal angioedema. Epinephrine should be used when laryngeal angioedema is suspected.
    • If the patient is taking an ACE inhibitor, this drug should be stopped.
    • Antihistaminic and Corticosteroids may be given.
    • For patients with a known history of hereditary angioedema (HAE), a treatment option approved by the US Food and Drug Administration (FDA) (eg, C1 esterase inhibitor [C1-INH] concentrate, ecallantide, or icatibant) should be administered as soon as an angioedema attack is recognized