571 results match your criteria Angioedema Acquired


KAMBÔ: an Amazonian enigma.

J Venom Res 2020 26;10:13-17. Epub 2020 May 26.

Department of Zoology, Taubaté University, Taubaté, São Paulo State, Brazil.

The secretions of the Giant Monkey Frog are used by populations in the Amazon regions (mainly the indigenous Katukinas and Kaxinawás). The so-called "toad vaccine" or "kambô" is applied as a medication for infections and to prevent diseases, and also as physical and mental invigorator, and analgesic. Since the 1980s, researchers and companies have been interested in the composition of these secretions. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284396PMC

Direct and indirect action modes of acetylcholine in cholinergic urticaria.

Authors:
Yoshiki Tokura

Allergol Int 2020 Jun 18. Epub 2020 Jun 18.

Department of Dermatology, Hamamatsu University School of Medicine, Hamamatsu, Japan. Electronic address:

Cholinergic urticaria (CholU) manifests small, itchy and/or painful wheals occurring upon perspiration and mechanically involving acetylcholine (Ach). Although a considerable number of studies have been conducted, the pathomechanisms underlying perspiration-associated release of histamine remain to be elucidated. We have proposed that CholU can be categorized into two major subtypes: Ach-indirectly induced, sweat allergic type and Ach-directly induced, depressed sweating type. Read More

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http://dx.doi.org/10.1016/j.alit.2020.05.006DOI Listing

Acquired angioedema induced by angiotensin-converting enzyme inhibitors - experience of a hospital-based allergy center.

Exp Ther Med 2020 Jul 27;20(1):68-72. Epub 2020 Jan 27.

Dermatology Research Laboratory, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Angiotensin-converting enzyme inhibitors (ACEIs) represent an important group of pharmacological compounds, largely prescribed for more than 30 years. They have been extensively evaluated in clinical trials, demonstrating significant reduction of morbidity and mortality of patients with cardiovascular diseases, mainly high blood pressure, myocardial infarction, heart failure and stroke. Besides their beneficial effects and a general good safety profile, it was proven that ACEIs might also induce adverse effects in some patients, most notably angioedema (AE) and chronic cough. Read More

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http://dx.doi.org/10.3892/etm.2020.8474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271703PMC

Reply to Comment on "An Unusual Case of Acquired Angioedema and Monoclonal Gammopathy of Renal Significance in a Middle-Aged Caucasian Female".

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620929478

Lynchburg Nephrology Physicians, Lynchburg, VA, USA.

We sincerely thank Dr Andrew Whyte, who keenly reviewed our case report and came up with critical reasoning to justify his thoughts and critique with regard to our published article, "An Unusual Case of Acquired Angioedema and Monoclonal Gammopathy of Renal Significance in a Middle-Aged Caucasian Female." We agree with the author that hypocomplementemic urticarial vasculitis can be a reasonable contender as a diagnosis in this case. There are indeed some features in this case that do not entirely fit either classic presentation of acquired angioedema or hypocomplementemic urticarial vasculitis. Read More

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http://dx.doi.org/10.1177/2324709620929478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273557PMC

Regular sweating activities for the treatment of cholinergic urticaria with or without acquired idiopathic generalized anhidrosis.

Dermatol Ther 2020 May 22:e13647. Epub 2020 May 22.

Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan.

Cholinergic urticaria (CholU) decreases affected individuals' quality of life because they must avoid stimuli including exercise and hot bathing. Although case reports have indicated that regular sweating activities are effective for CholU with hypohidrosis, little evidence is available. This retrospective medical record review examined CholU patients who received any form of treatment at our hospital. Read More

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http://dx.doi.org/10.1111/dth.13647DOI Listing

Self-Management Plans in Patients with Hereditary Angioedema: Strategies, Outcomes and Integration into Clinical Care.

J Asthma Allergy 2020 30;13:153-158. Epub 2020 Apr 30.

Immunology & Allergy Unit, Department of Medicine, Campbelltown Hospital, Western Sydney University, Sydney, Campbelltown NSW 2560, Australia.

Chronic conditions, whether genetic or acquired, impose a significant burden on health care systems with high utilisation of hospital and emergency department resources. Self-management is increasingly recognised as one of the pillars in models of care for those with long-term medical conditions. Hereditary angioedema (HAE) is a rare genetic disorder inherited in an autosomal dominant fashion. Read More

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http://dx.doi.org/10.2147/JAA.S200900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198399PMC

Acquired Angioedema as the Presenting Feature of a -Positive Essential Thrombocytosis.

JCO Oncol Pract 2020 May 18:JOP1900779. Epub 2020 May 18.

Inova Fairfax Hospital, Falls Church, VA.

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http://dx.doi.org/10.1200/JOP.19.00779DOI Listing

Nailfold Videocapillaroscopic Findings in Bradykinin-Mediated Angioedema.

J Investig Allergol Clin Immunol 2020 04 17. Epub 2020 Apr 17.

Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.

Background And Objective: Hereditary angioedema with C1-inhibitor deficiency (C1-INH-HAE) and acquired angioedema related to ACE inhibitors (ACEI-AAE) are types of bradykinin-mediated angioedema without wheals characterized by recurrent swelling episodes. Recent evidence suggests that a state of "vascular preconditioning" predisposes individuals to attacks, but no data are available on the possible structural alterations of the vessels. Objective: This study aims at evaluating the features of the nailfold capillaries to highlight possible structural anomalies in patients affected by C1-INH-HAE in comparison with the healthy population and ACEI-AAE patients in comparison with hypertensive controls. Read More

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http://dx.doi.org/10.18176/jiaci.0524DOI Listing

Designation of Autoinflammatory Skin Manifestations With Specific Genetic Backgrounds.

Authors:
Nobuo Kanazawa

Front Immunol 2020 18;11:475. Epub 2020 Mar 18.

Department of Dermatology, Wakayama Medical University, Wakayama, Japan.

"Autoinflammatory disease (AiD)" has first been introduced in 1999 when the responsible gene for the familial Hibernean fever or autosomal dominant-type familial Mediterranean fever-like periodic fever syndrome was reportedly identified as . Linked with the rapid research progress in the field of innate immunity, "autoinflammation" has been designated for dysregulated innate immunity in contrast to "autoimmunity" with dysregulated acquired immunity. As hereditary periodic fever syndromes represent the prototype of AiD, monogenic systemic diseases are the main members of AiD. Read More

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http://dx.doi.org/10.3389/fimmu.2020.00475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093487PMC

Acquired C1-inhibitor deficiency due to splenic marginal zone lymhoma: Case Report.

Acta Clin Belg 2020 Mar 31:1-4. Epub 2020 Mar 31.

Nuclear Medicine and Molecular Imaging, University Hospitals Leuven, Leuven, Belgium.

We present the case of a 67-year-old woman who suffered recurrent episodes of angioedema of the face and larynx. After thorough biochemical investigations, an acquired deficiency of C1-INH was suspected. To evaluate a potential underlying malignancy, a whole-body FDG-PET/CT was performed and showed solely a marked splenomegaly pointing towards a splenic marginal zone lymphoma, which was confirmed by pathological examination. Read More

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http://dx.doi.org/10.1080/17843286.2020.1746552DOI Listing

[Use of simulation in healthcare for therapeutic training of the parents of children with hereditary angioedema].

Ann Dermatol Venereol 2020 May 24;147(5):340-349. Epub 2020 Mar 24.

Service de dermatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France; Centre de simulation All'Sims, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address:

Background: C1INH-deficiency hereditary angioedema (HAE) is characterized by recurrent episodes of potentially severe oedema. Icatibant for SC injection will soon be approved for use in children and it is necessary to train parents in recognising severe episodes of AOH and in the technique for injection of icatibant. Simulation in healthcare (SH) is a set of educational methods for improving skills in a safe environment. Read More

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http://dx.doi.org/10.1016/j.annder.2020.02.001DOI Listing

An Unusual Case of Acquired Angioedema and Monoclonal Gammopathy of Renal Significance in a Middle-Aged Caucasian Female.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620912096

Lynchburg Nephrology Physicians, Lynchburg, VA, USA.

Acquired angioedema due to deficiency of C1 esterase inhibitor is also called acquired angioedema and is abbreviated as C1INH-AAE. It is a rare syndrome of recurrent episodes of angioedema, without urticaria, and in some patients, it is associated with B-cell lymphoproliferative disorders. Kidney involvement is rare in this condition. Read More

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http://dx.doi.org/10.1177/2324709620912096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074490PMC

Short-term prophylaxis in patients with angioedema due to C1-inhibitor deficiency undergoing dental procedures: An observational study.

PLoS One 2020 12;15(3):e0230128. Epub 2020 Mar 12.

Odontoiatric Unit, ASST Fatebenefratelli Sacco, Milan, Italy.

Background: Patients affected by angioedema due to hereditary and acquired C1-inhibitor (C1-INH) deficiency (HAE and AAE, respectively) report trouble accessing dental care, due to the risk of a life-threatening oropharyngeal and laryngeal attack triggered by dental procedures. The aim of this study was to assess the identification of hurdles in receiving dental care, and the effectiveness of short-term prophylaxis (STP) in preventing angioedema attacks. In addition, the study evaluated the impact of dental care in angioedema disease. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230128PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7067439PMC

Update on bradykinin-mediated angioedema in 2020.

Therapie 2020 Apr 13;75(2):195-205. Epub 2020 Feb 13.

Centre de référence national des angioedèmes (CREAK), centre hospitalier universitaire Grenoble-Alpes, 38000 Grenoble, France.

Bradykinin-mediated angioedema is a rare disease, due to vasodilation and increased vascular permeability resulting from bradykinin. This kind of angioedema affects abdominal and/or upper airways. It differs clinically from histamine-mediated angioedema by the absence of urticaria or skin rash. Read More

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http://dx.doi.org/10.1016/j.therap.2020.02.011DOI Listing

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

Pediatr Allergy Immunol 2020 02;31 Suppl 24:22-24

ASST Fatebenefratelli Sacco, Milano, Italy.

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. Read More

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http://dx.doi.org/10.1111/pai.13170DOI Listing
February 2020

A Case of Prolonged Angioedema After Cardiac Surgery.

J Cardiothorac Vasc Anesth 2020 Jul 24;34(7):1890-1896. Epub 2019 Dec 24.

Department of Anesthesiology, Rhode Island Hospital, Providence, RI.

Angioedema (AE) is a transient capillary leak syndrome, caused by either histamine or bradykinin, that presents as an acute nonpitting swelling of the skin, subcutaneous tissues, and mucous membranes of the face, lips, tongue, upper airways, and gastrointestinal tract, with or without a rash. A lack of response to antihistamines, steroids, and epinephrine suggests a bradykinin-mediated AE. Bradykinin-AE may be inherited, acquired, or drug related. Read More

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http://dx.doi.org/10.1053/j.jvca.2019.12.025DOI Listing

Hereditary Angioedema: An Updated Experience with Patients with Angioedema in Puerto Rico.

P R Health Sci J 2019 12;38(4):248-254

University of Puerto Rico, Rio Piedras, Doctoral Program in Biology, San Juan, Puerto Rico; Private Allergy/Immunology Practice and Medical Sciences Campus, University of Puerto Rico University Pediatric Hospital, San Juan, Puerto Rico.

Objective: This was a study of patients with hereditary angioedema (HAE) and their responses to new therapies, measured in terms of HAE attack rates, the number of hospitalizations and emergency room (ER) visits, and the impact of HAE on their quality of life (QOL).

Methods: Patients that came at a private practice with recurrent angioedema without urticaria from 2013 through 2016. All HAE (types I & II) patients received rescue treatment and prophylaxis for those who had 2 or more attacks per month. Read More

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December 2019

Angioedema as a systemic disease.

Clin Dermatol 2019 Nov - Dec;37(6):636-643. Epub 2019 Aug 1.

Medical University-Sofia, Faculty of Public Health; Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria.

Angioedema is a clinical entity defined as self-limiting edema localized in the deeper layers of the skin and mucosa and lasting for several days. Angioedema can be provoked by bradykinin and/or mast cell mediators, including histamine. Four types of acquired and three types of hereditary angioedema have been identified. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2019.07.035DOI Listing

Acquired Angioedema: A Rare Manifestation of Angioimmunoblastic T Cell Lymphoma.

Indian J Otolaryngol Head Neck Surg 2019 Oct 7;71(Suppl 1):96-99. Epub 2017 Apr 7.

Department of Pathology, Shri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka India.

The clinical presentation except age of onset is similar in different types of angioedema. A lymphoproliferative disorder like angioimmunoblastic T cell lymphoma (AITL) rarely presents with symptoms of angioedema. We present extremely rare case of elderly male with recurrent tongue swelling, pruritus with normal levels of complements and C1 esterase inhibitor protein featuring as acquired angioedema, a rare manifestation of AITL. Read More

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http://dx.doi.org/10.1007/s12070-017-1122-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848602PMC
October 2019

A case of acquired hereditary angioedema.

J Allergy Clin Immunol Pract 2020 Apr 5;8(4):1447-1448. Epub 2019 Nov 5.

Division of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, Tenn.

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http://dx.doi.org/10.1016/j.jaip.2019.10.029DOI Listing

Idiopathic anaphylaxis.

Allergy Asthma Proc 2019 11;40(6):457-461

Idiopathic anaphylaxis (IA) is defined as anaphylaxis without any identifiable precipitating agent or event. The clinical manifestations of IA are the same as allergen-associated (immunologic) anaphylaxis and include urticaria, angioedema, hypotension, tachycardia, wheezing, stridor, pruritus, nausea, vomiting, flushing, diarrhea, dysphagia, light-headedness, and loss of consciousness. Patients usually tend to have the same manifestations on repeated episodes. Read More

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http://dx.doi.org/10.2500/aap.2019.40.4271DOI Listing
November 2019
6 Reads

Hereditary and acquired angioedema.

Allergy Asthma Proc 2019 11;40(6):441-445

Hereditary angioedema (HAE) is an autosomal dominant disorder defined by a deficiency of functional C1 esterase inhibitor (C1-INH). Acquired angioedema is due to either consumption (type 1) or inactivation (type 2) of CI-INH. Both HAE and acquired angioedema can be life-threatening. Read More

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http://dx.doi.org/10.2500/aap.2019.40.4267DOI Listing
November 2019
1 Read

Bradykinin-Mediated Angioedema: An Update of the Genetic Causes and the Impact of Genomics.

Front Genet 2019 27;10:900. Epub 2019 Sep 27.

Research Unit, Hospital Universitario Nuestra Señora de Candelaria, Universidad de La Laguna, Santa Cruz de Tenerife, Spain.

Recurrent episodes of bradykinin-mediated angioedema (Bk-AE) can associate with acquired or hereditary conditions, the former most commonly developing secondarily to a pharmacological treatment. Despite successful genomic advances that have led to the identification of a large number of disease genes irrespective of disease prevalence, their application to Bk-AE has barely occurred. As a consequence, the genetic causes of Bk-AE remain poorly understood, obstructing the identification of patient subtypes and the development of precision medicine strategies. Read More

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http://dx.doi.org/10.3389/fgene.2019.00900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776636PMC
September 2019
1 Read

A Case of Acquired Angioedema with Low C1 Inhibitor (C1-INH) Associated with Splenic Marginal Zone Lymphoma.

Am J Case Rep 2019 Oct 7;20:1476-1481. Epub 2019 Oct 7.

Dr. Sheldon H. Rubin Oncology Clinic, Clinical Trials, The Moncton Hospital - Horizon Health Network, Moncton, New Brunswick, Canada.

BACKGROUND Angioedema is a vascular reaction of the soft tissues or mucosa, with localized increased permeability of blood vessels. Patients with late-onset angioedema without urticaria have an increased risk of non-Hodgkin lymphoma. We present a case of late-onset angioedema that demonstrates that it is sometimes necessary to treat an indolent malignancy to address the symptoms of a secondary condition. Read More

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http://dx.doi.org/10.12659/AJCR.915558DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792468PMC
October 2019
1 Read

Systematic Review of Safety and Efficacy of Rituximab in Treating Immune-Mediated Disorders.

Front Immunol 2019 6;10:1990. Epub 2019 Sep 6.

Department of Immunology, University Hospital Zurich, Zurich, Switzerland.

During the past years biologic agents (also termed biologicals or biologics) have become a crucial treatment option in immunological diseases. Numerous articles have been published on biologicals, which complicates the decision making process on the use of the most appropriate biologic for a given immune-mediated disease. This systematic review is the first of a series of articles assessing the safety and efficacy of B cell-targeting biologics for the treatment of immune-mediated diseases. Read More

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https://www.frontiersin.org/article/10.3389/fimmu.2019.01990
Publisher Site
http://dx.doi.org/10.3389/fimmu.2019.01990DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6743223PMC
September 2019
6 Reads

Contribution of recombinant Parvalbumin Gad c 1 in the diagnosis and prognosis of fish allergy.

J Investig Allergol Clin Immunol 2019 09 18. Epub 2019 Sep 18.

Clinical Immunology Unit - Instituto de Medicina Molecular, Faculdade de Medicina. Universidade de Lisboa, Lisbon, Portugal.

Background: The prevalence of fish allergy increased in recent years. Gadc1 is a parvalbumin and a major cod allergen, used as a follow-up marker in patients with fish allergy.

Methods: Retrospective study of patientswith fish allergy, from July 1st, 2005 to December 31st, 2016. Read More

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http://dx.doi.org/10.18176/jiaci.0437DOI Listing
September 2019
3 Reads

[Postoperative angioedema induced by angiotensin-converting enzyme inhibitor: case report].

Rev Bras Anestesiol 2019 Sep - Oct;69(5):521-526. Epub 2019 Sep 14.

Universidade Federal do Triângulo Mineiro (UFTM), Hospital de Clínicas, Disciplina de Anestesiologia do CET/SBA, Uberaba, MG, Brasil.

Background And Objectives: Angioedema is a potentially fatal condition that may occur at any time in the perioperative period. It may result from histamine release, hypersensitivity reaction to drugs, or be triggered by bradykinin, in non-allergic reactions of hereditary or acquired etiology. The aim of this report is to report a case of angioedema in the early postoperative period in a patient on antihypertensive medication involving angiotensin-converting enzyme inhibitors. Read More

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http://dx.doi.org/10.1016/j.bjan.2019.01.005DOI Listing
May 2020
3 Reads

An 82-year-old man with recurrent angioedema.

Allergy Asthma Proc 2019 09;40(5):350-353

From the Division of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.

Angioedema is a potentially life-threatening swelling condition that can occur either in isolation or in the context of other syndromes, , anaphylaxis. Angioedema is typically asymmetric, lasts for hours to days, is not gravity dependent, and is often nonpitting. Recurrent angioedema is typically associated with histaminergic and bradykinin-mediated causes, some of which can indicate underlying etiologies with high morbidity or mortality. Read More

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http://dx.doi.org/10.2500/aap.2019.40.4242DOI Listing
September 2019
6 Reads

Acquired complement C1 esterase inhibitor deficiency in a patient with a rare variant with unknown significance.

BMJ Case Rep 2019 Sep 4;12(9). Epub 2019 Sep 4.

OPEN, Clinical Institute, University of Southern Denmark, Odense, Denmark.

Angioedema (AE) is caused by a wide range of diseases and pharmaceuticals; it can become life-threatening when located to the airways. Patients with deficiency or malfunction of complement C1 esterase inhibitor (hereditary or acquired) experience recurrent AE due to an accumulation of the vasoactive mediator bradykinin (BK). Complement C1 inhibitor normally decreases BK production, so a reduced function hereof causes increased levels. Read More

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http://dx.doi.org/10.1136/bcr-2019-231122DOI Listing
September 2019
2 Reads

Serum complexes between C1INH and C1INH autoantibodies for the diagnosis of acquired angioedema.

Clin Exp Immunol 2019 12 17;198(3):341-350. Epub 2019 Sep 17.

Instituto de Investigación Sanitaria del Hospital La Paz (IdiPaz), Madrid, Spain.

Acquired angioedema due to C1-inhibitor (C1INH) deficiency (AAE) is caused by secondary C1INH deficiency leading to bradykinin-mediated angioedema episodes. AAE typically presents in adulthood and is associated with B cell lymphoproliferation. Anti-C1INH autoantibodies (antiC1INHAbs) are detectable in a subset of AAE cases and considered a hallmark of the disease. Read More

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http://dx.doi.org/10.1111/cei.13361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857074PMC
December 2019
6 Reads
3.037 Impact Factor

Acquired C1-inhibitor deficiency presenting with nephrotic syndrome.

BMJ Case Rep 2019 Jul 11;12(7). Epub 2019 Jul 11.

Renal Services, Freeman Hospital, Newcastle upon Tyne, UK.

Acquired C1-inhibitor (C1-INH) deficiency is a rare and potentially life-threatening disorder, which presents with recurrent attacks of non-pitting oedema to the face, airway, limbs or gastrointestinal tract. It is often associated with underlying B-cell lymphoproliferative disorders. We describe a case of a 73-year-old man with acquired C1-INH deficiency who presented with nephrotic syndrome due to glomerular IgM deposition, secondary to an underlying secretory lymphoplasmacytic lymphoma. Read More

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http://dx.doi.org/10.1136/bcr-2019-230388DOI Listing
July 2019
10 Reads

Macroglossia secondary to lisinopril-induced acute angioedema.

Proc (Bayl Univ Med Cent) 2019 Jan 16;32(1):70-72. Epub 2019 Jan 16.

Department of Oral and Maxillofacial Surgery, Baylor University Medical Center at DallasDallasTexas.

Presented here are two cases of acute acquired macroglossia in adults caused by angioedema resulting from a reaction to angiotensin-converting enzyme inhibitors (ACEIs). Angioedema can be caused by a variety of factors, but ACEIs are the most common precipitating factor. Symptoms such as swelling of the lips, face, tongue, and throat can lead to life-threatening airway compromise. Read More

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https://www.tandfonline.com/doi/full/10.1080/08998280.2018.1
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http://dx.doi.org/10.1080/08998280.2018.1540736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442892PMC
January 2019
27 Reads

Anaesthetic management of patients with pre-existing allergic conditions: a narrative review.

Br J Anaesth 2019 Jul 13;123(1):e65-e81. Epub 2019 Mar 13.

Department of Anaesthesia and Peri-operative Medicine, Auckland City Hospital, Auckland, New Zealand.

This narrative review seeks to distinguish the clinical patterns of pre-existing allergic conditions from other confounding non-allergic clinical entities, and to identify the potential related risks and facilitate their perioperative management. Follow-up investigation should be performed after a perioperative immediate hypersensitivity to establish a diagnosis and provide advice for subsequent anaesthetics, the main risk factor for perioperative immunoglobulin E (IgE)-mediated anaphylaxis being a previous uninvestigated perioperative immediate hypersensitivity reaction. The concept of cross-reactivity between drugs used in the perioperative setting and food is often quoted, but usually not supported by evidence. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00070912193006
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http://dx.doi.org/10.1016/j.bja.2019.01.020DOI Listing
July 2019
15 Reads

Reporting through smartphone application results in detailed data on acquired and hereditary angioedema attacks.

Allergy 2019 09 15;74(9):1800-1802. Epub 2019 Apr 15.

HAE Centre Denmark, Odense University Hospital, Odense, Denmark.

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http://dx.doi.org/10.1111/all.13792DOI Listing
September 2019
9 Reads

Angioedema due to acquired C1-inhibitor deficiency: spectrum and treatment with C1-inhibitor concentrate.

Orphanet J Rare Dis 2019 03 13;14(1):65. Epub 2019 Mar 13.

Department of Medical Psychology and Medical Sociology, Johannes Gutenberg University, Mainz, Germany.

Background: Acquired angioedema due to C1-inhibitor (C1-INH) deficiency (AAE-C1-INH) is a serious condition that may result in life-threatening asphyxiation due to laryngeal edema. It is associated with malignant B-cell lymphoma and other disorders. The purpose of this study was to describe the characteristics and associated disorders of patients with AAE-C1-INH and assess the efficacy of plasma-derived C1-INH concentrate (pdC1-INH) in the treatment of AAE-C1-INH. Read More

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http://dx.doi.org/10.1186/s13023-019-1043-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417199PMC
March 2019
7 Reads

Identification of the recently described plasminogen gene mutation p.Lys330Glu in a family from Northern Germany with hereditary angioedema.

Clin Transl Allergy 2019 14;9. Epub 2019 Feb 14.

1Department of Dermatology, Allergology and Venereology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.

Hereditary angioedema (HAE) is a life-threatening disease characterized by recurrent episodes of subcutaneous and mucosal swellings and abdominal cramping. Corticosteroids and antihistamines, which are usually beneficial in histamine-induced acquired angioedema, are not effective in HAE. Therefore, diagnosing HAE correctly is crucial for affected patients. Read More

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http://dx.doi.org/10.1186/s13601-019-0247-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374890PMC
February 2019
9 Reads

Isolated angioedema: An overview of clinical features and etiology.

Exp Ther Med 2019 Feb 16;17(2):1068-1072. Epub 2018 Nov 16.

Allergology and Immunology Discipline, 'Iuliu Hațieganu' University of Medicine and Pharmacy, Cluj-Napoca 400012, Romania.

Angioedema can occur in isolation, accompanied by urticaria, or as a feature of anaphylaxis in mast cell-mediated disorders, bradykinin-mediated disorders, as well as in others with unknown mechanisms, such as infections, rare disorders, or idiopathic angioedema. In mast cell-mediated angioedema, other signs and symptoms of mast cell-mediator release are frequently seen. However, clear evidence of mast cell degranulation may be absent in histaminergic angioedema. Read More

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http://dx.doi.org/10.3892/etm.2018.6982DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327642PMC
February 2019
7 Reads

[Age-specific aspects in the treatment of angioedema patients].

Authors:
P Staubach

Hautarzt 2019 Feb;70(2):101-106

Spezialsprechstunde Angioödeme, Hautklinik und Poliklinik, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.

Manifestation of angioedema can occur at any age. We distinguish between two main subtypes: mast cell mediator-associated angioedema (often with hives) and the non-mast cell mediator-associated angioedema. The patient's history is very important due to the fact that one subtype can be hereditary, but we also have to consider new mutations and even not yet diagnosed patients. Read More

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http://dx.doi.org/10.1007/s00105-018-4346-8DOI Listing
February 2019
9 Reads

Melkersson-Rosenthal syndrome: a case report of a rare disease with overlapping features.

Allergy Asthma Clin Immunol 2019 5;15. Epub 2019 Jan 5.

2Department of Neuroscience, Division of Dentistry, University of Padua, Via Giustiniani 2, 35128 Padua, Italy.

Background: Melkersson-Rosenthal syndrome (MRS) is a rare, neuro-mucocutaneous disease which presents as orofacial swelling, facial palsy and fissured tongue. These symptoms may occur simultaneously or, more frequently, with a oligosymptomatic or monosymptomatic pattern. Swelling, that is the most common initial finding, may mimic hereditary or acquired angioedema, a disorder caused by histamine or bradykinin-mediated plasma-leakage affecting subcutaneous and/or submucosal tissue. Read More

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https://aacijournal.biomedcentral.com/articles/10.1186/s1322
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http://dx.doi.org/10.1186/s13223-018-0316-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320604PMC
January 2019
33 Reads

Diagnosis of solitary extramedullary plasmacytoma located in the nasopharynx in a patient with acquired angioedema.

Postepy Dermatol Alergol 2018 Dec 13;35(6):636-637. Epub 2018 Nov 13.

Department of Allergology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland.

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http://dx.doi.org/10.5114/ada.2018.77616DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320481PMC
December 2018
8 Reads

CpaA Is a Glycan-Specific Adamalysin-like Protease Secreted by Acinetobacter baumannii That Inactivates Coagulation Factor XII.

mBio 2018 12 18;9(6). Epub 2018 Dec 18.

Department of Microbiology and Immunology, University of Michigan Medical School, Ann Arbor, Michigan, USA

Antibiotic-resistant is increasingly recognized as a cause of difficult-to-treat nosocomial infections, including pneumonia, wound infections, and bacteremia. Previous studies have demonstrated that the metalloprotease CpaA contributes to virulence and prolongs clotting time when added to human plasma as measured by the activated partial thromboplastin time (aPTT) assay. Here, we show that CpaA interferes with the intrinsic coagulation pathway, also called the contact activation system, in human as well as murine plasma, but has no discernible effect on the extrinsic pathway. Read More

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http://dx.doi.org/10.1128/mBio.01606-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299215PMC
December 2018
27 Reads

Long-term effects upon rituximab treatment of acquired angioedema due to C1-inhibitor deficiency.

Allergy 2019 04 18;74(4):834-840. Epub 2018 Dec 18.

Clinical Immunology and Allergy, Royal National Throat Nose and Ear Hospital, University College London Hospitals, London, UK.

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http://dx.doi.org/10.1111/all.13686DOI Listing
April 2019
5 Reads

Chronic spontaneous urticaria or autoinflammatory disease? The therapeutic effect of omalizumab in a pediatric patient.

J Dermatolog Treat 2018 ;29(sup3):14-16

a University Department Pro.Sa.M.I. "G. D'Alessandro" , University of Palermo , Palermo , Italy.

Chronic spontaneous urticaria (CSU) is a clinical condition characterized by spontaneous or inducible recurrent wheals. This condition may significantly affect quality of life of patients and of their families. Etiology is not identified in 25-85% of cases that are indicated as 'idiopathic', because all diagnostic tests are negative. Read More

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http://dx.doi.org/10.1080/09546634.2018.1543845DOI Listing
January 2018
15 Reads

Diagnostic biologique des angioedèmes bradykiniques : les recommandations du CREAK.

Presse Med 2019 Jan 8;48(1 Pt 1):55-62. Epub 2018 Nov 8.

Centre de référence national des angioedèmes (CREAK), 38043 Grenoble, France; Service d'immunologie, CHUGA, 38043 Grenoble, France.

Bradykinin mediated angioedema (BK-AE) can be associated either with C1Inhibitor deficiency (hereditary and acquired forms), either with normal C1Inh (hereditary form and drug induced AE as angiotensin converting enzyme inhibitors…). In case of high clinical suspicion of BK-AE, C1Inh exploration must be done at first: C1Inh function and antigenemy as well as C4 concentration. C1Inh deficiency is significant if the tests are below 50 % of the normal values and controlled a second time. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07554982183032
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http://dx.doi.org/10.1016/j.lpm.2018.06.015DOI Listing
January 2019
21 Reads

Interpretation of Serological Complement Biomarkers in Disease.

Front Immunol 2018 24;9:2237. Epub 2018 Oct 24.

Rudbeck Laboratory C5:3, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.

Complement system aberrations have been identified as pathophysiological mechanisms in a number of diseases and pathological conditions either directly or indirectly. Examples of such conditions include infections, inflammation, autoimmune disease, as well as allogeneic and xenogenic transplantation. Both prospective and retrospective studies have demonstrated significant complement-related differences between patient groups and controls. Read More

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https://www.frontiersin.org/article/10.3389/fimmu.2018.02237
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http://dx.doi.org/10.3389/fimmu.2018.02237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207586PMC
September 2019
19 Reads

Lethal manifestations of angioedema.

Forensic Sci Med Pathol 2019 Sep 3;15(3):494-497. Epub 2018 Nov 3.

Forensic Science SA, 21 Divett Place, Adelaide, 5000, Australia.

An 86-year-old woman with a history of angioedema was found dead at her home address. She had recently complained of a swollen tongue. At autopsy the tongue was grossly edematous, protruding from the mouth. Read More

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http://link.springer.com/10.1007/s12024-018-0045-0
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http://dx.doi.org/10.1007/s12024-018-0045-0DOI Listing
September 2019
16 Reads

Nine year follow-up of a rare case of angioedema due to acquired C1-inhibitor deficiency with late onset and good response to attenuated androgen.

Allergy Asthma Clin Immunol 2018 25;14:69. Epub 2018 Oct 25.

1Carol Davila University of Medicine and Pharmacy, Bulevardul Eroii Sanitari, no. 8, District 5, 050474 Bucharest, Romania.

Background: Angioedema due to acquired deficiency of C1-inhibitor (C1-INH-AAE) is a rare disease sharing some clinical and laboratory similarities with hereditary angioedema, but with late onset and no positive family history. The underlining cause may be malignant or due to autoimmune diseases, but some cases remain idiopathic.

Case Presentation: We report a case of a 75 year old woman suffering from recurrent episodes of angioedema since the age of 66, considered first induced by treatment with angiotensin-converting-enzyme inhibitors (ACEI). Read More

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http://dx.doi.org/10.1186/s13223-018-0274-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201569PMC
October 2018
9 Reads

Deletions in SERPING1 Lead to Lower C1 Inhibitor Function: Lower C1 Inhibitor Function Can Predict Disease Severity.

Int Arch Allergy Immunol 2019;178(1):50-59. Epub 2018 Oct 2.

Division of Allergy and Immunology, Department of Internal Medicine, Ege University Faculty of Medicine, Izmir, Turkey.

Background: How genotype affects phenotype in hereditary angioedema with C1 inhibitor deficiency (C1-INH-HAE) has not been totally clarified. In this study, we investigated the relationship between different types of mutations and various phenotypic characteristics.

Methods: Clinical data from 81 patients from 47 families were recorded. Read More

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http://dx.doi.org/10.1159/000492583DOI Listing
April 2019
16 Reads