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> I have a new patient with fairly mild but bothersome angio-oedema > over the last 18 months, consisting of lip and, to a lesser extent, > eye swelling. She has a daughter who has severe urticaria at times. The following is a bit "hip" and "alternative", culled from personal, similar, but not identical experience: Before launching an ever increasing list of different frug treatments(that may be aggravating the condition in themselves!), I would look at food and the environment, particualrly that her daughter suffers urticaria (presumably they share the same environment?). Having excluded the presence of all animals in and around the house, checked any occupational factors, I would put her on a 10-14 exclusion diet. One of the best is the SAD (Stone Age Diet). I have the details of SAD if you wish to e-mail me directly. The first few days of SAD will be hell! Then, if food is implicated, she should start to feel better. You then go onto the painful and slow business of introducing single item foods one at a time and observing any reaction. You may also wish to carry out a food and environmental allergies RAST testing (there used to be an outfit in York that did this, can't remember the name!). Clinical Ecology is a fascinating subject and well worth pursuing in this case. Al Hakim way out on a desert galaxy, not drowning, but waving! _________________________________________ Ahmad Risk MB BCh tel: +44 1737 240022 fax: +44 1737 244660 http://www.cybermedic.org/ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%