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一例罕见的遗传性血管性水肿,仅有胃肠道症状,无皮肤受累。

A rare case of hereditary angioedema with exclusive gastrointestinal symptoms and no cutaneous involvement.

作者信息

Wu Xuan, Yin Tengfei, Yu Yanbo

机构信息

Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.

出版信息

Clin J Gastroenterol. 2025 Aug;18(4):615-618. doi: 10.1007/s12328-025-02147-6. Epub 2025 May 16.

DOI:10.1007/s12328-025-02147-6
PMID:40377882
Abstract

We report a case of hereditary angioedema presenting solely with gastrointestinal symptoms, including abdominal pain and bloating. The patient experienced recurrent abdominal pain for 4 years, without any evident clinical features such as skin or mucosal edema. Almost every episode occurred more than 10 days after the conclusion of menstruation. Ultimately, the diagnosis was confirmed through whole-exome sequencing and the evaluation of relevant indicators.

摘要

我们报告一例仅表现为胃肠道症状(包括腹痛和腹胀)的遗传性血管性水肿病例。该患者经历了4年的反复腹痛,无任何明显的临床特征,如皮肤或黏膜水肿。几乎每一次发作都发生在月经结束后10多天。最终,通过全外显子组测序和相关指标评估确诊。

相似文献

1
A rare case of hereditary angioedema with exclusive gastrointestinal symptoms and no cutaneous involvement.一例罕见的遗传性血管性水肿,仅有胃肠道症状,无皮肤受累。
Clin J Gastroenterol. 2025 Aug;18(4):615-618. doi: 10.1007/s12328-025-02147-6. Epub 2025 May 16.
2
[Administration of conestat alfa, human C1 esterase inhibitor and icatibant in the treatment of acute angioedema attacks in adults with hereditary angioedema due to C1 esterase inhibitor deficiency. Treatment comparison based on systematic review results].[注射用重组人C1酯酶抑制剂(conestat alfa)、人C1酯酶抑制剂和依卡替班治疗C1酯酶抑制剂缺乏所致遗传性血管性水肿成年患者急性血管性水肿发作的疗效比较。基于系统评价结果的治疗比较]
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Disease control and disease activity in hereditary angioedema: two sides of the same coin?遗传性血管性水肿中的疾病控制与疾病活动:同一枚硬币的两面?
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本文引用的文献

1
An Overview of Hereditary Angioedema for the Primary Care Physician.基层医疗医生的遗传性血管性水肿概述
Med Clin North Am. 2024 Jul;108(4):747-755. doi: 10.1016/j.mcna.2023.08.005.
2
Abdominal and pelvic imaging in the diagnosis of acute abdominal attacks in patients with hereditary angioedema due to C1-inhibitor deficiency.腹部和盆腔成像在诊断C1抑制剂缺乏所致遗传性血管性水肿患者急性腹痛发作中的应用
Postepy Dermatol Alergol. 2022 Aug;39(4):749-756. doi: 10.5114/ada.2021.108438. Epub 2021 Aug 13.
3
Recurrent Acute Abdomen as the Main Manifestation of Hereditary Angioedema.
复发性急腹症作为遗传性血管性水肿的主要表现
Intern Med. 2019 Jan 15;58(2):213-216. doi: 10.2169/internalmedicine.1559-18. Epub 2018 Aug 24.
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Abdominal attacks and treatment in hereditary angioedema with C1-inhibitor deficiency.C1 抑制剂缺乏的遗传性血管性水肿的腹部发作及治疗
BMC Gastroenterol. 2014 Apr 9;14:71. doi: 10.1186/1471-230X-14-71.
5
Initial presentation of hereditary angioedema as abdominal pain and ascites in puerperium: case report.遗传性血管性水肿在产褥期以腹痛和腹水为首发表现:病例报告
Acta Dermatovenerol Croat. 2010;18(4):261-3.
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Delayed diagnosis of hereditary angioedema.遗传性血管性水肿的延迟诊断。
Am J Med Sci. 2010 Jul;340(1):82-3. doi: 10.1097/MAJ.0b013e3181dead3b.
7
Symptoms, course, and complications of abdominal attacks in hereditary angioedema due to C1 inhibitor deficiency.C1抑制剂缺乏所致遗传性血管性水肿腹部发作的症状、病程及并发症
Am J Gastroenterol. 2006 Mar;101(3):619-27. doi: 10.1111/j.1572-0241.2006.00492.x. Epub 2006 Feb 8.
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[Abdominal pain and ascites as manifestations of hereditary angioneurotic edema].
Gastroenterol Hepatol. 1998 May;21(5):230-2.
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Hereditary angioedema: an infrequent cause of abdominal pain with ascites.遗传性血管性水肿:腹痛伴腹水的罕见病因。
Am J Gastroenterol. 1995 Mar;90(3):471-4.
10
Recurrent abdominal pain as the sole manifestation of hereditary angioedema in multiple family members.复发性腹痛作为多个家庭成员遗传性血管性水肿的唯一表现。
Gastroenterology. 1987 Nov;93(5):1116-8. doi: 10.1016/0016-5085(87)90576-2.