Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Department of Allergy and Immunology, Hospital Quironsalud Bizkaia, Bilbao, Spain.
Allergy. 2018 Aug;73(8):1575-1596. doi: 10.1111/all.13384. Epub 2018 Mar 12.
Hereditary Angioedema (HAE) is a rare and disabling disease. Early diagnosis and appropriate therapy are essential. This update and revision of the global guideline for HAE provides up-to-date consensus recommendations for the management of HAE. In the development of this update and revision of the guideline, an international expert panel reviewed the existing evidence and developed 20 recommendations that were discussed, finalized and consented during the guideline consensus conference in June 2016 in Vienna. The final version of this update and revision of the guideline incorporates the contributions of a board of expert reviewers and the endorsing societies. The goal of this guideline update and revision is to provide clinicians and their patients with guidance that will assist them in making rational decisions in the management of HAE with deficient C1-inhibitor (type 1) and HAE with dysfunctional C1-inhibitor (type 2). The key clinical questions covered by these recommendations are: (1) How should HAE-1/2 be defined and classified?, (2) How should HAE-1/2 be diagnosed?, (3) Should HAE-1/2 patients receive prophylactic and/or on-demand treatment and what treatment options should be used?, (4) Should HAE-1/2 management be different for special HAE-1/2 patient groups such as pregnant/lactating women or children?, and (5) Should HAE-1/2 management incorporate self-administration of therapies and patient support measures?
遗传性血管性水肿(HAE)是一种罕见且使人丧失能力的疾病。早期诊断和适当的治疗至关重要。本全球 HAE 指南更新和修订版提供了 HAE 管理的最新共识建议。在制定本指南更新和修订版的过程中,一个国际专家小组审查了现有证据,并制定了 20 条建议,这些建议在 2016 年 6 月于维也纳举行的指南共识会议上进行了讨论、最终确定和同意。本指南更新和修订版的最终版本纳入了专家评审委员会和认可协会的意见。本指南更新和修订版的目的是为临床医生及其患者提供指导,帮助他们在管理缺乏 C1 抑制剂(1 型)的 HAE 和功能失调的 C1 抑制剂(2 型)的 HAE 时做出合理决策。这些建议涵盖的关键临床问题包括:(1)应如何定义和分类 HAE-1/2?(2)应如何诊断 HAE-1/2?(3)是否应给予 HAE-1/2 患者预防性和/或按需治疗,应使用哪些治疗选择?(4)HAE-1/2 的管理是否应因孕妇/哺乳期妇女或儿童等特殊 HAE-1/2 患者群体而异?(5)是否应将 HAE-1/2 的管理纳入治疗的自我管理和患者支持措施?