Journals / Annals of Medical Research / 2019 / Cilt: 26 - Sayı: 8

Inherited prothrombotic risk factors in children with hereditary angioedema

Pages
1700–1703
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The heterozygous methylene tetrahydrofolate reductase (MTHFR)mutation were identified in seven patients (70%) and homozygous MTHFR mutation were found two patients (20%).Conclusion: In patients with hereditary angioedema, evaluation of protrombotic risk factors was crucial to estimate attack frequencyseverityand treatment related thrombosis risk.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Hereditary angioedema is characterized with recurrent mucocutaneous angioedema, abdominal pain, edema of larynx andextremities.
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Key Findings & Data:Thetype and frequency of attack, use of prophylaxis and family history of hereditary angioedema were questioned and prothromboticrisk factors were studied.Results: Among the 10 included patients, five of them were male (50%) and five were female (50%).
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Conclusion & Impact:The heterozygous methylene tetrahydrofolate reductase (MTHFR)mutation were identified in seven patients (70%) and homozygous MTHFR mutation were found two patients (20%).Conclusion: In patients with hereditary angioedema, evaluation of protrombotic risk factors was crucial to estimate attack frequencyseverityand treatment related thrombosis risk.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Hereditary angioedema is characterized with recurrent mucocutaneous angioedema, abdominal pain, edema of larynx andextremities. Dermal vascular thrombosis and systemic coagulation may occur in patients with hereditary angioedema due toinhibition of activated factor XII, thrombin and plasmin. Aim of this study was to screen patients with HAE for prothrombotic geneticrisk factors before treatment.Material and Methods: Ten patients with hereditary angioedema who were followed up at our clinic were included in our study. Thetype and frequency of attack, use of prophylaxis and family history of hereditary angioedema were questioned and prothromboticrisk factors were studied.Results: Among the 10 included patients, five of them were male (50%) and five were female (50%). Four patients had abdominaledema (40%), four patients had edema of hands, feet and face (40%). One patient (10%) had heterozygous factor V G1691A mutation,another one had also heterozygous protrombin G20210A mutation. The heterozygous methylene tetrahydrofolate reductase (MTHFR)mutation were identified in seven patients (70%) and homozygous MTHFR mutation were found two patients (20%).Conclusion: In patients with hereditary angioedema, evaluation of protrombotic risk factors was crucial to estimate attack frequencyseverityand treatment related thrombosis risk.

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Cite This Article

ÖZKUL, Y., OZCAN, A., CANSEVER, M., PATİROGLU, T. (2022). Inherited prothrombotic risk factors in children with hereditary angioedema. Annals of Medical Research, Cilt: 26 - Sayı: 8, 1700–1703. https://ajindex.com/articles/446978

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References (13)

  1. Bowen T, Cicardi M, Farkas H, et al. Canadian 2003 international consensus algorithm for the diagnosis, therapy, and management of hereditary angioedema. J Allergy Clin Immunol 2004;114:629-637
  2. Agostoni A, Aygören-Pürsün E, Binkley KE, et al. Hereditary and acquired angioedema: problems and progress: proceedings of the third C1 esterase inhibitor deficiency workshop and beyond. ms and progress: proceedings of the third C1 esterase inhibitor deficiency workshop and beyond 2004;114:51-131
  3. Starr JC, Brasher GW, Rao A, et al. Erythema marginatum and hereditary angioedema. South Med J 2004;97:948-50
  4. Cicardi M, Aberer W, Banerji A, et al; HAWK under the patronage of EAACI (European Academy of Allergy and Clinical Immunology). Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group. Allergy 2014;69:602-16
  5. Maurer M, Magerl M, Ansotegui I, et al. The international WAO/EAACI guideline for the management of hereditary angioedema-The 2017 revision and update. Allergy. 2018 Jan 10
  6. Crowther M, Bauer KA, Kaplan AP. The thrombogenicity of C1 esterase inhibitor (human): review of the evidence. Allergy Asthma Proc 2014;35:444-53
  7. Bowen T, Cicardi M, Bork K, et al. Hereditary angioedema: a current state-of-the-art review, VII: Canadian Hungarian 2007 International Consensus Algorithm for the Diagnosis, Therapy and Management of Hereditary Angioedema. Ann Allerg Asthma Immunol 2008;100:30-40
  8. Nanda MK, Elenburg S, Bernstein JA, et al. Clinical features of pediatric hereditary angioedema. J Allergy Clin Immunol Pract 2015;3:392-5
  9. Read N, Lim E, Tarzi MD, et al. Paediatric hereditary angioedema: a survey of UK service provision and patient experience. Clin Exp Immunol 2014;178:483-8
  10. Bennett G, Craig T. Hereditary angioedema with a focus on the child. Allerg Asthma Proc 2015;36:70-3
  11. Nygren A, Nordenfelt P, Lindfors A, et al. Swedish children with hereditary angioedema report good overall health and quality of life despite symptoms. Acta Paediatrica. 2016; 105: 529-34
  12. Kesim B, Uyguner ZO, Gelincik A, et al. The Turkish Hereditary Angioedema Pilot Study (TURHAPS): the first Turkish series of hereditary angioedema. Int Arch Allergy Immunol 2011;156:443-50
  13. Psarros F, Koutsostathis N, Farmaki E, et al. Hereditary angioedema in Greece: the first results of the Greek hereditary angioedema registry. International Arch Allergy Immunol 2014;164:326-