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遗传性血管性水肿(HAE)的诊断与管理

Diagnosis and management of hereditary angioedema (HAE).

作者信息

Atkinson J P

出版信息

Ann Allergy. 1979 Jun;42(6):348-52.

PMID:378041
Abstract

In summary, HAE is a dominantly inherited form of angioedema which is manifested by nonpainful, nonerythematous, nonpruritic and nonpitting swelling of the extremities, face, gastrointestinal and respiratory tracts unaccompanied by urticaria. These patients have deficient activity of the C1 INH and the laboratory diagnosis can be easily made by finding low C4 and C1 inh levels during an attack. Effective and specific therapy is now available that prevents the clinical syndrome and corrects the serologic hallmarks of the disease.

摘要

总之,遗传性血管性水肿(HAE)是一种常染色体显性遗传性血管性水肿,表现为四肢、面部、胃肠道和呼吸道出现无痛性、非红斑性、非瘙痒性和非凹陷性肿胀,且不伴有荨麻疹。这些患者的C1酯酶抑制物(C1 INH)活性不足,发作期间通过检测低C4和C1 INH水平可轻松做出实验室诊断。目前已有有效且特异性的治疗方法,可预防临床综合征并纠正该疾病的血清学特征。

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