Snoring-Induced Vibratory Angioedema
نویسنده
چکیده
BACKGROUND Vibratory angioedema (VA) is a rare physical urticaria, with symptoms of itching and swelling of the skin or mucosa when it is exposed to vibration. Avoidance of vibration is the best way to manage this condition. This case report will assist physicians to diagnose this rare condition. Here, a previously unpublished potential successful treatment modality is being presented, with good symptom control, along with some photographs taken during an acute attack. A literature review points towards potential undiagnosed cases. CASE REPORT A 70-year-old woman had multiple emergency department visits for tongue and throat swelling over 3 years. The episodes always happened at night. Detailed history elicited some episodes of itching and swelling of hands when driving as well as significant snoring while sleeping. Physical examination was unremarkable except for morbid obesity. Complement factor 4 and C1esterase inhibitor level were within normal limits. A tentative diagnosis of angioedema induced by oropharyngeal vibration from snoring was made. A sleep study confirmed sleep apnea with severe snoring. After CPAP (continuous positive airway pressure) treatment, she had successful symptom control. CONCLUSIONS Snoring-induced VA is very likely an under-diagnosed condition in the community. The typical history is the key to the diagnosis. This condition could be confirmed by vibration test or by the resolution of symptoms with elimination of vibration. Effective symptom control is possible by avoidance of oropharyngeal vibration from snoring with the administration of CPAP therapy, making it a potential novel indication for this condition.
منابع مشابه
Studies on innocent praecordial vibratory murmurs in children. II. Systolic time intervals and pulse wave transmission times in children with an innocent praecordial vibratory murmur.
متن کامل
A study on the relationship between subjective unpleasantness and body surface vibrations induced by high-level low-frequency pure tones.
Human body surface vibrations induced by high-level low-frequency pure tones were measured at the chest and the abdomen. At the same time, the subject rated the unpleasantness that he had just perceived during the exposure to low-frequency noise stimulus. Examining the relationship between the measured vibration and the rating score of the unpleasantness revealed that the unpleasantness was in ...
متن کاملAssessment of vibratory sensation with a tuning fork at different sites in Japanese patients with diabetes mellitus
The current study compared the vibratory sensations at different sites, using a retrospective database of 547 Japanese diabetic patients. The vibratory sensation was assessed with a 128-Hz tuning fork at the medial malleolus, the great toe and the fifth toe. The vibratory sensations at different sites were significantly associated with one another (all P < 0.01). The vibratory sensation at one ...
متن کاملAutomatic Controlled Vibratory Pile Driving with Shock-stress Limitation
For several decades vibratory pile driving has been extensively applied in civil engineering, e.g. in the construction of bulkheads. On urban construction sites shock waves occur which could damage nearby building structures and annoy humans. State-of-the-art machinery provides three control inputs (frequency, excitation force and surcharge force) to achieve two almost contradictory goals: fast...
متن کاملMeasurement and Modelling of Underwater Noise from Pile Driving
Many coastal and offshore construction activities require the driving of piles into the seabed, either using impact or vibratory pile drivers. Impact pile driving produces an intense impulsive underwater noise that has been associated with fish deaths at very short range, whereas vibratory pile driving produces a lower level continuous noise. Because of the high sound levels involved, noise fro...
متن کامل