Ramipril induced pemphigoid vulgaris

Introduction: Angiotensin-converting enzyme (ACE) inhibitors are the very frequently used drugs in the treatment of hypertension & heart failure. ACE inhibitors competitively inhibit the conversion of angiotensin I to angiotensin II and also inhibits bradykinin metabolism thereby causing dilatio...

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Main Authors: Mirza MA, Jena S
Format: Article
Language:English
Published: KIMS Foundation and Research Center 2018-09-01
Series:Journal of Medical and Scientific Research
Subjects:
Online Access:http://jmsronline.com/article.aspx?ID=Ramipril-induced-pemphigoid-vulgaris
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author Mirza MA
Jena S
author_facet Mirza MA
Jena S
author_sort Mirza MA
collection DOAJ
description Introduction: Angiotensin-converting enzyme (ACE) inhibitors are the very frequently used drugs in the treatment of hypertension & heart failure. ACE inhibitors competitively inhibit the conversion of angiotensin I to angiotensin II and also inhibits bradykinin metabolism thereby causing dilation of arteries and veins. These actions bring about reduction in preload and afterload on heart. Side effects of ACE inhibitors include cough, dysgeusia, hyperkalaemia, renal failure, proteinuria, agranulocytosis etc. Seldomly ACE inhibitors precipitate skin rashes, pruritus & urticaria. Case report: A 52-year-old female with known case of rheumatoid arthritis was prescribed ramipril for treatment of cardiomegaly and left ventricular (LV) dysfunction. The patient reported skin related adverse drug reaction i.e., pemphigoid vulgaris. Conclusion: From the current case report it can be said that ramipril can cause and aggregate some rare skin adverse effects as that of pemphigoid vulgaris which can be reversed within a short span of time if recognized early.
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spelling doaj.art-0421db9b9ce24b01951d14f366db49132022-12-22T01:49:57ZengKIMS Foundation and Research CenterJournal of Medical and Scientific Research2321-13262394-112X2018-09-016412212410.17727/JMSR.2018/6-20Ramipril induced pemphigoid vulgarisMirza MA0Jena S1Department of Cardiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, IndiaDepartment of Cardiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, IndiaIntroduction: Angiotensin-converting enzyme (ACE) inhibitors are the very frequently used drugs in the treatment of hypertension & heart failure. ACE inhibitors competitively inhibit the conversion of angiotensin I to angiotensin II and also inhibits bradykinin metabolism thereby causing dilation of arteries and veins. These actions bring about reduction in preload and afterload on heart. Side effects of ACE inhibitors include cough, dysgeusia, hyperkalaemia, renal failure, proteinuria, agranulocytosis etc. Seldomly ACE inhibitors precipitate skin rashes, pruritus & urticaria. Case report: A 52-year-old female with known case of rheumatoid arthritis was prescribed ramipril for treatment of cardiomegaly and left ventricular (LV) dysfunction. The patient reported skin related adverse drug reaction i.e., pemphigoid vulgaris. Conclusion: From the current case report it can be said that ramipril can cause and aggregate some rare skin adverse effects as that of pemphigoid vulgaris which can be reversed within a short span of time if recognized early.http://jmsronline.com/article.aspx?ID=Ramipril-induced-pemphigoid-vulgarisramiprilangiotensin-converting enzymepemphigoid vulgaris
spellingShingle Mirza MA
Jena S
Ramipril induced pemphigoid vulgaris
Journal of Medical and Scientific Research
ramipril
angiotensin-converting enzyme
pemphigoid vulgaris
title Ramipril induced pemphigoid vulgaris
title_full Ramipril induced pemphigoid vulgaris
title_fullStr Ramipril induced pemphigoid vulgaris
title_full_unstemmed Ramipril induced pemphigoid vulgaris
title_short Ramipril induced pemphigoid vulgaris
title_sort ramipril induced pemphigoid vulgaris
topic ramipril
angiotensin-converting enzyme
pemphigoid vulgaris
url http://jmsronline.com/article.aspx?ID=Ramipril-induced-pemphigoid-vulgaris
work_keys_str_mv AT mirzama ramiprilinducedpemphigoidvulgaris
AT jenas ramiprilinducedpemphigoidvulgaris