Zuraw Bruce L, Christiansen Sandra C
University of California, San Diego, La Jolla, CA, USA.
San Diego VA Health System, San Diego, CA, USA.
Br J Haematol. 2016 Jun;173(6):831-43. doi: 10.1111/bjh.14059. Epub 2016 Apr 12.
Hereditary angioedema (HAE) is a rare autosomal dominant genetic disorder clinically characterized by recurrent attacks of subcutaneous and mucosal swelling that can result in significant morbidity and even mortality. Several novel therapies introduced since 2008 have dramatically transformed the approach to management. In this review we will discuss the current understanding of the pathophysiology of HAE, diagnostic evaluation of recurrent angioedema without urticaria, and the therapeutic approach to HAE. We advocate taking an integrative approach to care in order to normalize the lives of affected patients.
遗传性血管性水肿(HAE)是一种罕见的常染色体显性遗传病,临床特征为皮下和黏膜反复肿胀发作,可导致严重发病甚至死亡。自2008年以来引入的几种新型疗法极大地改变了治疗方法。在本综述中,我们将讨论目前对HAE病理生理学的认识、无荨麻疹的复发性血管性水肿的诊断评估以及HAE的治疗方法。我们主张采取综合治疗方法,以使受影响患者的生活恢复正常。