Hereditary angioedema type II--a study of two families

J Investig Allergol Clin Immunol. 1992 Nov-Dec;2(6):318-22.

Abstract

Hereditary angioedema (HA) is caused by a quantitative or qualitative deficiency of C1 esterase inhibitor (C1 INH). We present a study of nine patients with HA belonging to two different families. The symptoms started before 10 years of age in most cases (78%). Facial edema (lips, eyes) and of the extremities (feet, hands) were the most frequent complaints. Three patients presented edema of the glottis and one of them underwent a tracheostomy twice. Laboratory tests, outside the acute crisis, revealed low levels of C4 in all patients. The serum levels of C1 INH were normal in seven patients; however, functional activity was not observed in any of them. After the use of a modified androgen (danazol), control of symptoms was observed in all patients, although functional activity was re-established in only five patients.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Angioedema / classification
  • Angioedema / genetics*
  • Angioedema / immunology
  • Child
  • Complement C1 Inactivator Proteins / deficiency
  • Complement C4 / deficiency
  • Danazol / therapeutic use
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pedigree

Substances

  • Complement C1 Inactivator Proteins
  • Complement C4
  • Danazol