Wu Xuan, Yin Tengfei, Yu Yanbo
Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Clin J Gastroenterol. 2025 Aug;18(4):615-618. doi: 10.1007/s12328-025-02147-6. Epub 2025 May 16.
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.
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。