Hereditary Angioedema: Diagnosis, Management, Current State of Art and Advances

Esra Karabiber, Elif Karakoç Aydıner
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Abstract

Abstract Hereditary angioedema (HAE) is a rare, mostly inherited disorder however 25% of patients have de novo mutations. Although it’s rarity, it can be life threatening due to laryngeal involvement. Along with understanding the basis of swelling, several new treatment options aside from C1-inhibitory protein (C1-INH) replacement have been developed and are avaible on the markets. However the avaibility of approved drugs for attacks of HAE varies world wide. Treatment management requires angioedema attacks treatment, pre-procedural treatment and long term prophylaxis (LTP). C1-INH which was firstly developed and approved for on-demand treatment, pre-procedural treatment and LTP by iv route, nowadays for LTP, other developed and approved options are used by orally and sc route. Despite the new developing medications, permanent treatment such as gene therapy is needed.
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遗传性血管性水肿:诊断、管理、现状与进展
遗传性血管性水肿(HAE)是一种罕见的遗传性疾病,但25%的患者有新生突变。虽然罕见,但由于喉部受累,可能危及生命。随着对肿胀基础的了解,除了c1抑制蛋白(C1-INH)替代之外,还开发了几种新的治疗方案,并已在市场上上市。然而,在世界范围内,用于HAE发作的批准药物的可用性各不相同。治疗管理需要血管性水肿发作治疗,术前治疗和长期预防(LTP)。C1-INH最初被开发并批准用于按需治疗、术前治疗和iv途径的LTP,如今用于LTP的其他开发和批准的选择是口服和sc途径。尽管有新的药物开发,但需要永久性的治疗,如基因治疗。
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