Demographic and clinical characteristics of patients with hereditary angioedema in Canada.


Journal

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
ISSN: 1534-4436
Titre abrégé: Ann Allergy Asthma Immunol
Pays: United States
ID NLM: 9503580

Informations de publication

Date de publication:
01 2022
Historique:
received: 14 05 2021
revised: 20 06 2021
accepted: 15 07 2021
pubmed: 24 7 2021
medline: 29 1 2022
entrez: 23 7 2021
Statut: ppublish

Résumé

Data on the clinical and demographic features of Canadian patients with hereditary angioedema (HAE) are lacking. To describe the clinical and demographic features in a large Canadian HAE cohort and compare them with patients with HAE in other countries. An online questionnaire was distributed to the members of 2 Canadian HAE patient groups to collect information on demographics and HAE clinical characteristics. All participants 18 years of age or older with HAE type I or II were eligible. Frequency, location, prodromes, and triggers of HAE attacks, including types of HAE treatment, were characterized. Among the 90 participants who completed the online survey, 57% self-identified as having HAE type 1 and 26% HAE type II. The average diagnostic delay was 11 years. In the preceding 6 months, 24% of the participants had no attacks and 35% experienced greater than 5 attacks. The most frequently affected regions of the body were the abdomen (83%), arms orlegs (63%), face (41%), and larynx or throat (41%). Approximately 87% of the participants reported having access to C1 inhibitor at home, and 69% reported using it for long-term prophylaxis. Canadian patients with HAE share common clinical characteristics with patients with HAE in other countries. They had a delay in HAE diagnosis and a high burden of disease, as indicated by the high frequency of attacks in the preceding 6 months. This study provides a better understanding of the demographic and clinical characteristics of Canadian patients with HAE.

Sections du résumé

BACKGROUND
Data on the clinical and demographic features of Canadian patients with hereditary angioedema (HAE) are lacking.
OBJECTIVE
To describe the clinical and demographic features in a large Canadian HAE cohort and compare them with patients with HAE in other countries.
METHODS
An online questionnaire was distributed to the members of 2 Canadian HAE patient groups to collect information on demographics and HAE clinical characteristics. All participants 18 years of age or older with HAE type I or II were eligible. Frequency, location, prodromes, and triggers of HAE attacks, including types of HAE treatment, were characterized.
RESULTS
Among the 90 participants who completed the online survey, 57% self-identified as having HAE type 1 and 26% HAE type II. The average diagnostic delay was 11 years. In the preceding 6 months, 24% of the participants had no attacks and 35% experienced greater than 5 attacks. The most frequently affected regions of the body were the abdomen (83%), arms orlegs (63%), face (41%), and larynx or throat (41%). Approximately 87% of the participants reported having access to C1 inhibitor at home, and 69% reported using it for long-term prophylaxis.
CONCLUSION
Canadian patients with HAE share common clinical characteristics with patients with HAE in other countries. They had a delay in HAE diagnosis and a high burden of disease, as indicated by the high frequency of attacks in the preceding 6 months. This study provides a better understanding of the demographic and clinical characteristics of Canadian patients with HAE.

Identifiants

pubmed: 34298173
pii: S1081-1206(21)00514-7
doi: 10.1016/j.anai.2021.07.015
pii:
doi:

Substances chimiques

Complement C1 Inhibitor Protein 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

89-94.e1

Informations de copyright

Copyright © 2021 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Auteurs

Erika Yue Lee (EY)

Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Clinical Immunology and Allergy, Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address: erika.lee@mail.utoronto.ca.

Jane Hsieh (J)

Department of Medicine, Toronto, Ontario, Canada.

Teresa Caballero (T)

Department of Allergy, Hospital Universitario La Paz, Madrid, Spain; Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Center for Biomedical Research Network on Rare Diseases (CIBERER U754), Madrid, Spain.

Christine McCusker (C)

Division of Allergy and Immunology, Department of Pediatrics, McGill University Health Centre Research Institute, Montreal, Quebec, Canada.

Amin Kanani (A)

Division of Allergy and Clinical Immunology, Department of Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Gina Lacuesta (G)

Department of Medicine, Dalhousie University, Halifax, Canada.

Rozita Borici-Mazi (R)

Division of Allergy and Immunology, Department of Medicine, Queens University, Kingston, Canada.

Susan Waserman (S)

Division of Clinical Immunology and Allergy, Department of Medicine, McMaster University, Hamilton, Canada.

Stephen Betschel (S)

Division of Clinical Immunology and Allergy, Department of Medicine, University of Toronto, Toronto, Canada.

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