Laurent J, Lagrue G
Service de Néphrologie, Hôpital Henri Mondor, Creteil.
Allerg Immunol (Paris). 1991 Jan;23(1):5-9.
The hereditary angioneurotic oedema is an exceptional disease of deadly risk from glottic oedema. The diagnosis is based on a very low serum C4, with collapsed C1 INH for a patient who has repeated attacks of Quincke's oedema or pseudo occlusive digestive crisis. These crisis are prevented by taking anabolic steroids and must be treated when they are serious by intravenous C1 INH. The recent contributions of the immunogenetic and the interest of a national registry are underlined.
遗传性血管性水肿是一种因声门水肿而具有致命风险的罕见疾病。诊断基于血清C4水平极低,且C1抑制物缺乏,见于反复发生昆克水肿或假性闭塞性消化危机的患者。服用合成代谢类固醇可预防这些危机,严重时必须通过静脉注射C1抑制物进行治疗。文中强调了免疫遗传学的最新贡献以及国家登记系统的重要性。