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CASE REPORT
Year : 2019  |  Volume : 9  |  Issue : 4  |  Page : 230-232

A rare case report on telmisartan-induced angioedema and mouth ulcers


1 Department of General Medicine, Bharati Vidyapeeth Medical College and Hospital, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India
2 Department of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India
3 Department of Pharmacology, Bharati Vidyapeeth Medical College and Hospital, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India

Correspondence Address:
Mr. Bijoy Kumar Panda
Assistant Professor, Department of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JICC.JICC_44_19

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A 67-year-old hypertensive female was hospitalized for painful, bleeding mouth ulcers, angioedema (lip swelling and glossitis), and dysphagia. A history reported by the patient and recent medication history revealed the onset of the symptoms on the initiation of telmisartan for hypertension. Telmisartan was discontinued, and the patient was managed symptomatically for pain, mouth ulcers, glossitis, and dysphagia. The symptoms completely resolved over 10 days of drug withdrawal. As per the World Health Organization and Naranjo adverse drug reaction assessment, telmisartan had a “Probable” association with the oral toxicity observed in this patient.


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