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血管性水肿的分类、诊断和治疗方法:遗传性血管性水肿国际工作组的共识报告。

Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group.

机构信息

Department of Biomedical and Clinical Sciences Luigi Sacco, University of Milan, Luigi Sacco Hospital Milan, Milan, Italy.

出版信息

Allergy. 2014 May;69(5):602-16. doi: 10.1111/all.12380. Epub 2014 Mar 27.

Abstract

Angioedema is defined as localized and self-limiting edema of the subcutaneous and submucosal tissue, due to a temporary increase in vascular permeability caused by the release of vasoactive mediator(s). When angioedema recurs without significant wheals, the patient should be diagnosed to have angioedema as a distinct disease. In the absence of accepted classification, different types of angioedema are not uniquely identified. For this reason, the European Academy of Allergy and Clinical Immunology gave its patronage to a consensus conference aimed at classifying angioedema. Four types of acquired and three types of hereditary angioedema were identified as separate forms from the analysis of the literature and were presented in detail at the meeting. Here, we summarize the analysis of the data and the resulting classification of angioedema.

摘要

血管性水肿定义为皮下和黏膜下组织的局部和自限性水肿,由于血管活性介质的释放导致血管通透性暂时增加。当血管性水肿在没有明显风团的情况下复发时,应诊断为具有独特疾病特征的血管性水肿。由于缺乏公认的分类,不同类型的血管性水肿不能被唯一识别。为此,欧洲过敏与临床免疫学学会赞助了一次共识会议,旨在对血管性水肿进行分类。通过对文献的分析,确定了四种获得性和三种遗传性血管性水肿为独立的形式,并在会议上进行了详细介绍。在这里,我们总结了数据分析和由此产生的血管性水肿分类。

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