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Acquired C1 esterase inhibitor deficiency: an atypical first presentation intra‐operatively
Author(s) -
Hendron D.,
Reid M.
Publication year - 2006
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2006.04790.x
Subject(s) - medicine , presentation (obstetrics) , malignancy , airway , esterase , surgery , anesthesia , dermatology , enzyme , biochemistry , chemistry
Summary We report a case of airway difficulties encountered as a result of blistering, oedema and bleeding from the oropharyngeal mucosa of an 85‐year‐old female undergoing an elective excision of a submandibular neck lump. This led to a delay in extubation by several hours. The patient was subsequently found to have an acquired form of C1 esterase inhibitor deficiency considered to be consequent of haematological malignancy.