Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group

被引:502
|
作者
Cicardi, M. [1 ]
Aberer, W. [2 ]
Banerji, A. [3 ]
Bas, M. [4 ]
Bernstein, J. A. [5 ]
Bork, K. [6 ]
Caballero, T. [7 ]
Farkas, H. [8 ]
Grumach, A. [9 ]
Kaplan, A. P. [10 ]
Riedl, M. A. [11 ]
Triggiani, M. [12 ]
Zanichelli, A. [1 ]
Zuraw, B. [11 ]
机构
[1] Univ Milan, Luigi Sacco Hosp Milan, Dept Biomed & Clin Sci Luigi Sacco, I-20122 Milan, Italy
[2] Med Univ Graz, Dept Dermatol, Graz, Austria
[3] Massachusetts Gen Hosp, Div Rheumatol Allergy & Immunol, Boston, MA 02114 USA
[4] Tech Univ Munich, Klinikum Rechts Isar, Dept Otorhinolaryngol, D-80290 Munich, Germany
[5] Univ Cincinnati, Coll Med, Dept Internal Med, Div Immunol,Allergy Sect, Cincinnati, OH USA
[6] Johannes Gutenberg Univ Mainz, Dept Dermatol, D-55122 Mainz, Germany
[7] Hosp La Paz Inst Hlth Res IdiPaz, Biomed Res Network Rare Dis CIBERER U754, Dept Allergy, Madrid, Spain
[8] Semmelweis Univ, Natl Angioedema Ctr, Dept Internal Med 3, H-1085 Budapest, Hungary
[9] Fac Med ABC, Dept Clin Med, Sao Paulo, Brazil
[10] Med Univ S Carolina, Charleston, SC 29425 USA
[11] Univ Calif San Diego, Dept Med, Div Rheumatol Allergy & Immunol, La Jolla, CA 92093 USA
[12] Univ Salerno, Dept Med, I-84100 Salerno, Italy
关键词
urticaria; dermatology; education; clinical immunology; angioedema; C1 INHIBITOR DEFICIENCY; ACQUIRED C1-INHIBITOR DEFICIENCY; CONVERTING-ENZYME-INHIBITORS; IDIOPATHIC NONHISTAMINERGIC ANGIOEDEMA; BRADYKININ-MEDIATED ANGIOEDEMA; ANGIONEUROTIC-EDEMA; FACTOR-XII; ESTERASE INHIBITOR; ACUTE ATTACKS; TRANEXAMIC ACID;
D O I
10.1111/all.12380
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Angioedema is defined as localized and self-limiting edema of the subcutaneous and submucosal tissue, due to a temporary increase in vascular permeability caused by the release of vasoactive mediator(s). When angioedema recurs without significant wheals, the patient should be diagnosed to have angioedema as a distinct disease. In the absence of accepted classification, different types of angioedema are not uniquely identified. For this reason, the European Academy of Allergy and Clinical Immunology gave its patronage to a consensus conference aimed at classifying angioedema. Four types of acquired and three types of hereditary angioedema were identified as separate forms from the analysis of the literature and were presented in detail at the meeting. Here, we summarize the analysis of the data and the resulting classification of angioedema.
引用
收藏
页码:602 / 616
页数:15
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