Hereditary Angioedema with Normal C1 Inhibitor Update on Evaluation and Treatment

被引:43
|
作者
Magerl, Markus [1 ]
Germenis, Anastasios E. [2 ]
Maas, Coen [3 ]
Maurer, Marcus [1 ]
机构
[1] Charite Univ Med Berlin, Dept Dermatol & Allergy, Allergie Centrum Charite ECARF, Charitepl 1, D-10117 Berlin, Germany
[2] Univ Thessaly, Sch Hlth Sci, Fac Med, Dept Immunol & Histocompatibil, Panepistimiou 3, GR-41500 Biopolis, Larissa, Greece
[3] Univ Med Ctr Utrecht, Dept Clin Chem & Haematol, Heidelberglaan 100, NL-3584 CX Utrecht, Netherlands
关键词
Hereditary angioedema; Factor XII; Plasmin; Mutation; Bradykinin; C1-inhibitor; FACTOR-XII GENE; CONTACT SYSTEM ACTIVATION; ANGIONEUROTIC-EDEMA; PRODROMAL SYMPTOMS; HAGEMAN-FACTOR; F12; GENE; PLASMINOGEN-ACTIVATOR; IDIOPATHIC ANGIOEDEMA; PATHOGENIC MECHANISMS; MISSENSE MUTATIONS;
D O I
10.1016/j.iac.2017.04.004
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
A new form of hereditary angioedema (HAE) was identified in the year 2000. Its clinical appearance resembles HAE types I and II, which are caused by mutations that result in low levels of C1 inhibitor (C1-INH). In patients with this form of HAE, C1-INH plasma levels and function values are normal, so it is termed HAE with normal C1-INH (HAE-nC1). HAE-nC17 in a subgroup of patients, is thought to be caused by mutations that affect the F12 gene. The diagnosis of HAE-nC1 is based on history and clinical criteria. There are no licensed drugs with proven treatment effects for HAE-nC1.
引用
收藏
页码:571 / +
页数:15
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