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两名携带肌铁蛋白基因突变的不同家族患者的复发性血管性水肿表现及治疗反应:病例系列

Recurrent angioedema manifestation and treatment response in two patients from different families caring the myoferlin gene mutation: case series.

作者信息

Fomina Daria S, Lebedkina Marina S, Bobrikova Elena N, Yukhnovskaya Yulia D, Roppelt Anna A, Mukhina Olga A, Markina Ulyana A, Alexeeva Yulia G, Nikitina Ekaterina A, Maurer Marcus, Karaulov Alexander V, Lysenko Maryana A, Buttgereit Thomas

机构信息

GA2LEN Angioedema Center of Reference and Excellence (ACARE), Moscow Research and Clinical Center of Allergy and Immunology, Moscow Healthcare Department, City Clinical Hospital 52, Moscow, Russia.

Department of Clinical Immunology and Allergy, The First Sechenov State Medical University, Moscow, Russia.

出版信息

Orphanet J Rare Dis. 2025 Aug 12;20(1):424. doi: 10.1186/s13023-025-03932-9.

DOI:10.1186/s13023-025-03932-9
PMID:40797221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12344933/
Abstract

Data on hereditary angioedema with normal C1 inhibitor levels are currently limited. To date, only one Italian family with HAE-MYOF has been described, comprising exclusively female members. The angioedema (AE) of head and neck area with the teenage onset, triggered by menses and high fever episodes were identified. It is necessary to search for potential biomarkers in patients with HAE-MYOF. This case series reports two unrelated individuals from different families with symptoms onset of recurrent AE and identified myoferlin gene mutations. Due to limited knowledge about the clinical presentation, pathogenesis, and treatment response in HAE-MYOF, further data collection is essential.

摘要

目前,关于C1抑制剂水平正常的遗传性血管性水肿的数据有限。迄今为止,仅描述了一个患有HAE-MYOF的意大利家族,全部由女性成员组成。该家族成员在青少年期出现由月经和高热发作引发的头颈部血管性水肿(AE)。有必要在HAE-MYOF患者中寻找潜在的生物标志物。本病例系列报告了来自不同家族的两名无关个体,他们出现复发性AE症状并检测到肌铁蛋白基因突变。由于对HAE-MYOF的临床表现、发病机制和治疗反应了解有限,进一步收集数据至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19a/12344933/be420f83f2e7/13023_2025_3932_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19a/12344933/be420f83f2e7/13023_2025_3932_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19a/12344933/be420f83f2e7/13023_2025_3932_Fig1_HTML.jpg

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本文引用的文献

1
Definition, acronyms, nomenclature, and classification of angioedema (DANCE): AAAAI, ACAAI, ACARE, and APAAACI DANCE consensus.血管性水肿的定义、缩略语、命名和分类(DANCE):美国过敏、哮喘和免疫学学会,美国过敏、哮喘和临床免疫学会,加拿大过敏、哮喘和临床免疫学会,亚太过敏、哮喘和临床免疫学会共识。
J Allergy Clin Immunol. 2024 Aug;154(2):398-411.e1. doi: 10.1016/j.jaci.2024.03.024. Epub 2024 Apr 25.
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Pathophysiology of Hereditary Angioedema (HAE) Beyond the SERPING1 Gene.
遗传性血管性水肿(HAE)除 SERPING1 基因以外的病理生理学
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4
A myoferlin gain-of-function variant associates with a new type of hereditary angioedema.一种肌铁蛋白功能获得性变异与一种新型遗传性血管性水肿相关。
Allergy. 2020 Nov;75(11):2989-2992. doi: 10.1111/all.14454. Epub 2020 Jul 1.