Cohen S H, Koethe S M, Kozin F, Rodey G, Arkins J A, Fink J N
J Allergy Clin Immunol. 1978 Oct;62(4):217-21. doi: 10.1016/0091-6749(78)90210-5.
Cases of the acquired form of angioedema have been recognized as a separate entity since 1972. Previously reported cases have been related to various hematologic malignancies. We have recently studied a patient with rectal carcinoma who manifests a complement pattern compatible with the acquired form of angioedema. No previous personal or family history of allergic disease or angioedema was present. Because the episodes of angioedema were laryngeal in location and required emergency intubation to maintain an adequate airway, a trial of danazol prophylaxis, which has been shown to be effective in hereditary angioedema, was undertaken. His beneficial response to this form of therapy is also documented.
自1972年以来,获得性血管性水肿病例已被视为一个独立的病种。此前报道的病例与各种血液系统恶性肿瘤有关。我们最近研究了一名直肠癌患者,其表现出与获得性血管性水肿相符的补体模式。该患者既往无个人或家族过敏疾病或血管性水肿病史。由于血管性水肿发作部位在喉部,需要紧急插管以维持气道通畅,因此尝试使用达那唑进行预防,达那唑已被证明对遗传性血管性水肿有效。该患者对这种治疗方式的良好反应也有记录。