Nishad Mukul, Verma Sushma, Maqsood Ramish, Pal Rashmi Saxena
Department of Pharmaceutics, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, Uttar Pradesh, 201306, India.
Department of Biotechnology, Noida Institute of Engineering and Technology, Greater Noida, Uttar Pradesh, 201306, India.
Rev Recent Clin Trials. 2025;20(2):79-95. doi: 10.2174/0115748871307432240930051749.
Angioedema is a health issue that affects parts of the body like the upper pulmonary and gastric pathways and is identified by abrupt, nonpitting enlargement of the skin, mucous membranes, or both. The swelling usually lasts a few hours to 72 hours and may appear as non-puritic, subcutaneous, or submucosal organ edema. It is characterized by localized swelling brought on by the release of histamine. Itching is rare, and usual areas of appearance include the hands, feet, face, and genitalia, with periorbital swelling being the most often. The main objective of this review article is to study in brief the classifications, etiology, pathophysiology, and clinical trial data by describing the recent advancement in the treatment of angioedema. Various research articles obtained from different journals indexed under Scopus and SCI were used to prepare the review article and for illustrative work software such as Biorender and Microsoft Word was used. Histaminemediated angioedema, linked to allergic reactions, coexists with urticaria. Bradykinin-mediated angioedema, exemplified by hereditary angioedema and acquired forms, lacks urticaria. Idiopathic angioedema, with uncertain etiology. Imitated angioedema results from non-IgE-mediated reactions, often induced by medications. It is a complicated medical condition with a variety of causes and mechanisms. Over time, outcomes for patients have been greatly improved by a growing understanding of its etiology, pathophysiology, and available treatments. The field of medical treatment for this difficult problem is always changing, and this is partly due to clinical trials.
血管性水肿是一种影响身体诸如上呼吸道和胃肠道等部位的健康问题,其特征为皮肤、黏膜或两者突然出现非凹陷性肿胀。肿胀通常持续数小时至72小时,可能表现为非瘙痒性、皮下或黏膜下器官水肿。它的特点是由组胺释放引起的局部肿胀。瘙痒很少见,常见出现部位包括手、脚、脸和生殖器,其中眶周肿胀最为常见。这篇综述文章的主要目的是通过描述血管性水肿治疗的最新进展,简要研究其分类、病因、病理生理学和临床试验数据。从Scopus和SCI索引的不同期刊获取的各种研究文章被用于撰写这篇综述文章,并且使用了诸如Biorender和Microsoft Word等软件进行说明性工作。组胺介导的血管性水肿与过敏反应相关,与荨麻疹共存。缓激肽介导的血管性水肿,如遗传性血管性水肿和获得性形式,不伴有荨麻疹。特发性血管性水肿,病因不明。假性血管性水肿由非IgE介导的反应引起,通常由药物诱发。它是一种病因和机制多样的复杂病症。随着时间的推移,对其病因、病理生理学和可用治疗方法的不断了解,患者的治疗效果有了很大改善。针对这个难题的医学治疗领域一直在变化,部分原因是临床试验。