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小儿血管性水肿

Pediatric Angioedema.

作者信息

Pattanaik Debendra, Lieberman Jay Adam

机构信息

Department of Internal Medicine, Division of Rheumatology, The University of Tennessee Health Science Center, 51 North Dunlap, Suite 400, Memphis, TN, 38105, USA.

Department of Pediatrics, Division of Allergy & Immunology, The University of Tennessee Health Science Center, 51 North Dunlap, Suite 400, Memphis, TN, 38105, USA.

出版信息

Curr Allergy Asthma Rep. 2017 Aug 8;17(9):60. doi: 10.1007/s11882-017-0729-7.

Abstract

PURPOSE OF REVIEW

The aims of this study are to update the clinician on current understanding of angioedema as it presents in the pediatric population and to review proper diagnostic techniques and treatment modalities for various types of angioedema.

RECENT FINDINGS

Angioedema is still best classified by whether it is likely histaminergic or kinin-mediated. New guidelines have been published around the world to help diagnose and treat both forms (urticaria/angioedema and hereditary angioedema). The vast majority of the studies on treatment have been conducted in the adult population; however, there are data available in the pediatric population. In the realm of hereditary angioedema, there are multiple new therapies that have been studied in the pediatric population (down to 2 years in some studies) in recent years and offer the clinician options for treatment. Angioedema (whether occurring with or without urticaria) is common in the pediatric population. The majority of the recent studies has been conducted in hereditary angioedema, and now, the clinician should have various options to treat all forms of angioedema. Many treatment options, especially for hereditary angioedema, are further being examined specifically in the pediatric population.

摘要

综述目的

本研究旨在向临床医生介绍目前对儿童血管性水肿的认识,并回顾各种类型血管性水肿的正确诊断技术和治疗方式。

最新发现

血管性水肿仍最好根据其可能是组胺介导还是激肽介导进行分类。世界各地已发布新指南,以帮助诊断和治疗这两种类型(荨麻疹/血管性水肿和遗传性血管性水肿)。绝大多数治疗研究是在成人中进行的;然而,儿科人群也有相关数据。在遗传性血管性水肿领域,近年来有多种新疗法在儿科人群(有些研究对象年龄低至2岁)中进行了研究,为临床医生提供了治疗选择。血管性水肿(无论是否伴有荨麻疹)在儿科人群中很常见。最近的大多数研究是针对遗传性血管性水肿进行的,现在临床医生应该有多种选择来治疗所有形式的血管性水肿。许多治疗选择,尤其是针对遗传性血管性水肿的,正在儿科人群中进行进一步的专门研究。

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