Angioedema

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In medicine and immunology, angioedema is "swelling involving the deep dermis, subcutaneous, or submucosal tissues, representing localized edema. Angioedema often occurs in the face, lips, tongue, and larynx."[1]

Classification

Hereditary angioedema (Hereditary C1 esterase inhibitor deficiency)

{main|Hereditary angioedema}}

Acquired deficiency is characterized by low levels of complement C1q.

Acquired angioedema (Acquired C1 esterase inhibitor deficiency)

"Acquired C1 esterase inhibitor deficiency is a rare condition associated with autoimmune or low-grade lymphoproliferative disorder."[2]

  • Type I disease is associated with lymphoproliferative disorders.[2]
  • Type II disease is associated with autoantibodies[2] and monoclonal gammopathies[3].

Acquired deficiency is characterized by low levels of complement C1q.

Diagnosis

Angioedema due to deficiency of complement C1 inhibitor protein may manifest reduced d-dimer levels, especially during attacks.[4]

References

  1. Anonymous (2024), Angioedema (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. 2.0 2.1 2.2 Markovic SN, Inwards DJ, Frigas EA, Phyliky RP (January 2000). "Acquired C1 esterase inhibitor deficiency". Ann. Intern. Med. 132 (2): 144–50. PMID 10644276[e]
  3. Frémeaux-Bacchi V, Guinnepain MT, Cacoub P, et al (August 2002). "Prevalence of monoclonal gammopathy in patients presenting with acquired angioedema type 2". Am. J. Med. 113 (3): 194–9. PMID 12208377[e]
  4. Cugno M, Zanichelli A, Bellatorre AG, Griffini S, Cicardi M (February 2009). "Plasma biomarkers of acute attacks in patients with angioedema due to C1-inhibitor deficiency". Allergy 64 (2): 254–7. DOI:10.1111/j.1398-9995.2008.01859.x. PMID 19076541. Research Blogging.