Pediatric angioedema: Essential features and preliminary results from the Hereditary Angioedema Global Registry in Italy.


Journal

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718

Informations de publication

Date de publication:
02 2020
Historique:
accepted: 24 10 2019
entrez: 5 2 2020
pubmed: 6 2 2020
medline: 15 12 2020
Statut: ppublish

Résumé

Isolated angioedema, which is a localized, non-pitting, and transient swelling of the subcutaneous or submucosal tissue not associated with pruritus, urticaria, or anaphylaxis, may be classified, based on genetic pattern and mediators, respectively, as acquired or hereditary and histamine- or non-histamine-induced. The pediatric population with C1-INH-HAE (Hereditary angioedema due to C1-inhibitor deficiency) is mostly symptomatic. The frequency of symptoms in such a population compared to adults seems to be lower, but we need more prospective data to conclude on this point. The HGR (Hereditary angioedema global registry), which collects symptoms in real time, will probably provide such information. In terms of treatments, pediatric patients are significantly disadvantaged due to the few studies aimed at registering treatment for this population.

Identifiants

pubmed: 32017221
doi: 10.1111/pai.13170
doi:

Substances chimiques

Complement C1 Inhibitor Protein 0
SERPING1 protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

22-24

Informations de copyright

© 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

Références

Cicardi M, Aberer W, Banerji A, et al. Classification, diagnosis and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group. Allergy. 2014;69:602-616.
Reshef A, Kidon M, Leibovich I. The story of angioedema: from Quincke to Bradykinin. Clinic Rev Allerg Immunol. 2016;51:121-139.
Caccia S, Suffritti C, Cicardi M. Pathophysiology of hereditary angioedema. Pediatr Allergy Immunol Pulmonol. 2014;27:159-163.
Cicardi M, Zuraw BL. Angioedema due to bradykinin dysregulation. J Allergy Clin Immunol Pract. 2018;6:1132-1141.
Rubinstein E, Stolz LE, Sheffer AL, et al. Abdominal attacks and treatment in hereditary angioedema with C1-inhibitor deficiency. BMC Gastroenterol. 2014;14:71-79.
Bork K, Hardt J, Witzke G. Fatal laryngeal attacks and mortality in hereditary angioedema due to C1-INH deficiency. J Allergy Clin Immunol. 2012;130:692-697.
Maurer M, Magerl M, Ansotegui I, et al. The international WAO/EAACI guideline for the management of hereditary angioedema - the 2017 revision and update. World Allerg Org J. 2018;11:5.
Farkas H, Martinez-Saguer I, Bork K, et al. International consensus on the diagnosis and management of pediatric patients with hereditary angioedema with C1 inhibitor deficiency. Allergy. 2017;72:300-313.
Cancian M, The Italian Network for C1-INH-HAE (ITACA). Diagnostic and therapeutic management of hereditary angioedema due to C1-inhibitor deficiency: the Italian experience. Curr Opin Allergy Clin Immunol. 2015;15:383-391.
Zanichelli A, Arcoleo F, Barca MP, et al. A nationwide survey of hereditary angioedema due to C1 inhibitor deficiency in Italy. Orphanet J Rare Dis. 2015;10:11.

Auteurs

Mauro Cancian (M)

Department of Medicine, University of Padova, Padova, Italy.

Francesca Perego (F)

IRCCS Istituti Clinici Scientifici Maugeri, Milano, Italy.

Riccardo Senter (R)

Department of Medicine, University of Padova, Padova, Italy.

Francesco Arcoleo (F)

Ospedali Riuniti Villa Sofia-Cervello, Unità Operativa Complessa di Patologia Clinica, Palermo, Italy.

Tiziana De Pasquale (T)

Division of Allergy, Civitanova Marche Hospital, Civitanova Marche, Italy.

Alessandra Zoli (A)

Servizio di Immunologia Clinica e Tipizzazione Tessutale-Ospedali Riuniti di Ancona, Ancona, Italy.

Marco Cicardi (M)

IRCCS Istituti Clinici Scientifici Maugeri, Milano, Italy.
Department of Biomedical and Clinical Sciences Luigi Sacco, University of Milan, Milano, Italy.

Andrea Zanichelli (A)

ASST Fatebenefratelli Sacco, Milano, Italy.

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