Hereditary angioedema: current therapeutic management and future approaches.

IF 2.6 4区 医学 Q2 ALLERGY Current Opinion in Allergy and Clinical Immunology Pub Date : 2024-08-01 Epub Date: 2024-05-13 DOI:10.1097/ACI.0000000000000992
Donatella Lamacchia, Emanuele Nappi, Valentina Marzio, Francesca Locatelli, Maria Rita Messina, Enrico Heffler
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Abstract

Purpose of review: The aim of this review is to provide an account of the focus of therapeutic strategies for hereditary angioedema (HAE), give a brief overview of those used in the past and set aside and toughly discuss those currently available as first line. Further research is ongoing and the future therapeutic approaches that are still in different phases of study will be reviewed as well.

Recent findings: In the last two decades, major research advancements on HAE pathophysiology and management were made and numerous novel therapeutic options are now available. Compared to the past, drugs available nowadays are more effective, well tolerated, and possibly have a more convenient administration route. Moreover, numerous other drugs with innovative mechanisms of action are under development.

Summary: HAE is a rare genetic disease that if not promptly treated, it can lead to death from asphyxiation. Furthermore, due to its disfiguring and painful manifestations, HAE implies an important burden on the quality of life. Recently, following great research progresses on HAE therapy, evidence-based guidelines on HAE management were released. The therapeutic landscape of HAE is still under florid development, and it is possible novel treatments will remarkably revolutionize HAE management in the future.

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遗传性血管性水肿:当前的治疗管理和未来的方法。
综述的目的:本综述旨在介绍遗传性血管性水肿(HAE)治疗策略的重点,简要概述过去使用的治疗策略,并搁置和严格讨论目前可作为一线治疗的治疗策略。此外,还将回顾正在进行的进一步研究以及仍处于不同研究阶段的未来治疗方法:在过去二十年中,有关 HAE 病理生理学和治疗的研究取得了重大进展,目前已有许多新型治疗方案。与过去相比,现在的药物更有效、耐受性更好,给药途径可能也更方便。摘要:HAE 是一种罕见的遗传性疾病,如不及时治疗,可导致窒息死亡。此外,由于其毁容和痛苦的表现,HAE 对患者的生活质量造成了极大的负担。最近,随着 HAE 治疗研究取得重大进展,发布了以证据为基础的 HAE 治疗指南。HAE 的治疗方法仍在蓬勃发展之中,新型治疗方法有可能在未来彻底改变 HAE 的治疗方法。
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来源期刊
CiteScore
5.90
自引率
3.60%
发文量
109
审稿时长
6-12 weeks
期刊介绍: This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on one to three topics, every issue of Current Opinion in Allergy and Clinical Immunology delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as upper airway disease; mechanisms of allergy and adult asthma; paediatric asthma and development of atopy; food and drug allergies; and immunotherapy.
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