De Knop K J, Hagendorens M M, Stevens W J, De Clerck L S, Ebo D G
Department of Immunology, Allergology, Rheumatology University Hospital Antwerp, University Antwerp, Belgium.
Acta Clin Belg. 2009 Nov-Dec;64(6):520-8. doi: 10.1179/acb.2009.089.
Angioedema constitutes an important clinical problem that can cause significant morbidity and mortality. Correct management requires a prompt recognition and treatment of the acute event and identification of the underlying cause. Many cases are caused by non-allergic reactions and do not result from mediator release by degranulating mast cells and basophils, but are related to accumulation of plasma and tissue bradykinin. This case series aims primarily to describe some important causes of non-allergic bradykinin-induced angioedema. Particular emphasis is put on clinical particularities, differential diagnosis, diagnostic approach and correct therapeutic management, as bradykinin-mediated angioedema is unresponsive to antihistamines.
