Cutis; cutaneous medicine for the practitioner 2011-01-01

Unilateral eyelid angioedema with congestion of the right bulbar conjunctiva due to loxoprofen sodium.

Daisuke Tsuruta, Tomoko Oshimo, Junko Sowa, Masamitsu Ishii, Hiromi Kobayashi

Index: Cutis. 87(1) , 41-3, (2011)

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Abstract

Angioedema is a variant of urticaria that causes deep dermal and subcutaneous swelling. It frequently is a unilateral reaction and usually lasts for several hours but may persist for several days. We report 2 cases of angioedema that involved the right upper and lower eyelids and was associated with congestion of the right bulbar conjunctiva; the symptoms started approximately 1 to 2 hours after taking loxoprofen sodium. All of the symptoms subsided after oral corticosteroid therapy. In both cases, an oral challenge test with 60 mg of loxoprofen sodium (contained in a tablet) caused swelling of the right upper eyelid within several hours, followed by swelling of the right bulbar conjunctiva. We believe the drug reaction in both patients is angioedema.