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Which of the following is associated with angioedema (swelling of the eyelids lips and tongue)

a) contact dermatitis
b) exanthematous (morbiliform) drug eruption
c) drug induced acute urticaria

User Allard
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1 Answer

4 votes

Final answer:

Angioedema is typically associated with drug-induced acute urticaria. Hereditary angioedema is caused by a deficiency of C1 esterase inhibitors, which leads to overstimulation of the complement system, causing tissue swelling. Contact dermatitis is a type IV hypersensitivity reaction and involves a different immune response mechanism.

Step-by-step explanation:

Angioedema, which is the swelling of the eyelids, lips, and tongue, is most closely associated with drug-induced acute urticaria, rather than contact dermatitis or exanthematous (morbiliform) drug eruption. This condition can arise from allergic reactions, certain medications, or be hereditary in nature. For example, hereditary angioedema is a genetic disorder associated with a deficiency in C1 esterase inhibitors. These proteins normally help suppress activation of the complement system but, when deficient, can lead to the production of inflammatory anaphylatoxins, resulting in tissue swelling and fluid buildup.

Type I hypersensitivity reactions include systemic reactions like anaphylaxis, which can involve severe swelling of the tongue and trachea, potentially leading to life-threatening situations. Contact dermatitis, including those caused by latex or poison ivy, usually presents as a type IV hypersensitivity reaction and involves different mechanisms such as delayed T cell-mediated immune response.

User Gondy
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