Treatment for angioedema (angioneurotic edema), swelling

October 28, 2003

This sounds like angioedema. Angioedema is very dangerous, especially when it starts affecting the neck and throat. She should seek emergency medical help when she experiences swelling near her throat, as this can quickly impair breathing. Her physician may also be able to provide emergency epinephrine to be self-administered by injection during a life-threatening attack.

Angioedema is sometimes preceded by hives. Often the cause for hives and angioedema cannot be found. Likewise it is difficult to predict when an onslaught will occur, how long it will last, or whether this is something that will eventually subside.

However, I recently participated in a continuing educational course that offered hope. Dr. Michael Kaliner, Medical Director for the Institute for Asthma and allergy in Chevy Chase, Maryland, and a Clinical Professor of Medicine at George Washington School of Medicine in Washington, DC, says that he has successfully treated a good number of patients with angioedema by using a combination of antihistamines and antileukotrienes. You could talk to your physician about the possibility of trying antileukotriene medication. I have listed information about Dr. Kaliner's presentation in the references.

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