Floccard Bernard, Javaud Nicolas, Crozon Jullien, Rimmelé Thomas
Hospices civils de Lyon, hôpital Édouard-Herriot, centre de référence multisites des angiœdèmes bradykiniques, département d'anesthésie-réanimation, 69437 Lyon, France.
Assistance Publique-hôpitaux de Paris, groupe hospitalier hôpitaux universitaires Paris Seine-Saint-Denis, hôpital Jean-Verdier, centre de référence multisites des angiœdèmes bradykiniques, service des urgences et SAMU-SMUR 93, 93140 Bondy, France.
Presse Med. 2015 Jan;44(1):70-7. doi: 10.1016/j.lpm.2014.09.012. Epub 2014 Dec 13.
In the emergency setting, the diagnosis of bradykinin-mediated angioedema is based exclusively on history and physical examination. Severe attacks must be identified because the evolution is unpredictable with a risk of life-threatening airway obstruction. Underestimate the severity of the attack is a management pitfall to avoid. All attack under the shoulders should be considered as severe and must benefit from early specific treatment.
