Vibratory Angioedema Due to Vigorous Nose Blowing: A Case Report

Vibratory angioedema is a rare type of chronic inducible angioedema with a variety of triggers reported in the literature. Standard management of vibratory angioedema involves avoidance of known triggers, as well as stepwise therapy starting with second-generation antihistamines. We present a unique case of vibratory angioedema provoked by vigorous nose blowing and improved with treatment of chronic rhinitis. To our knowledge, this is the first reported case of vibratory angioedema associated with this specific trigger. Recognition of nose blowing as a potential precipitant may have meaningful implications for diagnosis and management.