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Year : 2017  |  Volume : 49  |  Issue : 4  |  Page : 325-327

Acute dystonic reaction leading to lingual hematoma mimicking angioedema

1 Department of Emergency Medicine, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
2 Department of Emergency Medicine, Acibadem Altunizade Hospital, Istanbul, Turkey
3 Department of Emergency Medicine, Gulhane Training and Research Hospital, Ankara, Turkey
4 Department of Otorhinolaryngology, Beytepe Murat Erdi Eker State Hospital, Ankara, Turkey
5 Department of Otorhinolaryngology, Gulhane Training and Research Hospital, Ankara, Turkey

Correspondence Address:
Özgür Sezer
Department of Emergency Medicine, Amasya University Sabuncuoglu Serefeddin, Training and Research Hospital, Amasya
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijp.IJP_620_16

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Lingual hematoma is a severe situation, which is rare and endangers the airway. It can develop due to trauma, vascular abnormalities, and coagulopathy. Due to its sudden development, it can be clinically confused with angioedema. In patients who applied to the doctor with complaints of a swollen tongue, lingual hematoma can be confused with angioedema, in particular, at the beginning if the symptoms occurred after drug use. It should especially be considered that dystonia in the jaw can present as drug-induced hyperkinetic movement disorder. Early recognition of this rare clinical condition and taking precautions for providing airway patency are essential. In this case report, we will discuss mimicking angioedema and caused by a bite due to dystonia and separation of the tongue from the base of the mouth developing concurrently with lingual hematoma.


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