Chinese Journal of Dermatology ›› 2025, Vol. 58 ›› Issue (6): 497-502.doi: 10.35541/cjd.20240676
• Guidelines and Consensus • Previous Articles Next Articles
Chinese Society of Dermatology; China Dermatologist Association
Received:
2024-12-11
Revised:
2025-03-24
Online:
2025-06-15
Published:
2025-06-03
Contact:
Xiao Ting; Gao Xinghua
E-mail:cmuxt@126.com; gaobarry@hotmail.com
Supported by:
Chinese Society of Dermatology, China Dermatologist Association. Recommendations for the diagnosis and treatment pathway for hereditary angioedema:a dermatology expert group consensus (2025 edition)[J]. Chinese Journal of Dermatology, 2025, 58(6): 497-502.doi:10.35541/cjd.20240676
[1] | Sarkar A, Nwagwu C, Craig T. Hereditary angioedema: a disease often misdiagnosed and mistreated[J]. Prim Care, 2023,50(2):295⁃303. doi: 10.1016/j.pop.2022.11.005. |
[2] | Magerl M, Gothe H, Krupka S, et al. A Germany⁃wide survey study on the patient journey of patients with hereditary angioedema[J]. Orphanet J Rare Dis, 2020,15(1):221. doi: 10.1186/s13023⁃020⁃01506⁃5. |
[3] | Zanichelli A, Magerl M, Longhurst H, et al. Hereditary angioedema with C1 inhibitor deficiency: delay in diagnosis in Europe[J]. Allergy Asthma Clin Immunol, 2013,9(1):29. doi: 10.1186/1710⁃1492⁃9⁃29. |
[4] | Banerji A, Busse P, Christiansen SC, et al. Current state of hereditary angioedema management: a patient survey[J]. Allergy Asthma Proc, 2015,36(3):213⁃217. doi: 10.2500/aap.2015.36. 3824. |
[5] | Lunn ML, Santos CB, Craig TJ. Is there a need for clinical guidelines in the United States for the diagnosis of hereditary angioedema and the screening of family members of affected patients?[J]. Ann Allergy Asthma Immunol, 2010,104(3):211⁃214. doi: 10.1016/j.anai.2009.12.004. |
[6] | Giavina⁃Bianchi P, Vivolo Aun M, Giavina⁃Bianchi M, et al. Hereditary angioedema classification: expanding knowledge by genotyping and endotyping[J]. World Allergy Organ J, 2024,17(5):100906. doi: 10.1016/j.waojou.2024.100906. |
[7] | Maurer M, Magerl M, Betschel S, et al. The international WAO/EAACI guideline for the management of hereditary angioedema⁃the 2021 revision and update[J]. Allergy, 2022,77(7):1961⁃1990. doi: 10.1111/all.15214. |
[8] | Davis AE 3rd. Mechanism of angioedema in first complement component inhibitor deficiency[J]. Immunol Allergy Clin North Am, 2006,26(4):633⁃651. doi: 10.1016/j.iac.2006.08.003. |
[9] | Ding L, Zhang MJ, Rao GW. Summary and future of medicine for hereditary angioedema[J]. Drug Discov Today, 2024,29(3):103890. doi: 10.1016/j.drudis.2024.103890. |
[10] | Bork K, Wulff K, Witzke G, et al. Treatment of patients with hereditary angioedema with the c.988A>G (p.Lys330Glu) variant in the plasminogen gene[J]. Orphanet J Rare Dis, 2020,15(1):52. doi: 10.1186/s13023⁃020⁃1334⁃8. |
[11] | Vincent D, Parsopoulou F, Martin L, et al. Hereditary angioedema with normal C1 inhibitor associated with carboxypeptidase N deficiency[J]. J Allergy Clin Immunol Glob, 2024,3(2):100223. doi: 10.1016/j.jacig.2024.100223. |
[12] | D'Apolito M, Santacroce R, Vazquez DO, et al. DAB2IP associates with hereditary angioedema: insights into the role of VEGF signaling in HAE pathophysiology[J]. J Allergy Clin Immunol, 2024,154(3):698⁃706. doi: 10.1016/j.jaci.2024.05. 017. |
[13] | Reshef A, Buttgereit T, Betschel SD, et al. Definition, acronyms, nomenclature, and classification of angioedema (DANCE): AAAAI, ACAAI, ACARE, and APAAACI DANCE consensus[J]. J Allergy Clin Immunol, 2024,154(2):398⁃411.e1. doi: 10.1016/j.jaci.2024.03.024. |
[14] | Giavina⁃Bianchi P, Aun MV, Kalil J. Vascular endothelial growth factor (VEGF) emerging as a mediator of hereditary angioedema (HAE)[J]. World Allergy Organ J, 2024,17(8):100942. doi: 10.1016/j.waojou.2024.100942. |
[15] | Magerl M, Sala⁃Cunill A, Weber⁃Chrysochoou C, et al. Could it be hereditary angioedema? Perspectives from different medical specialties[J]. Clin Transl Allergy, 2023,13(9):e12297. doi: 10.1002/clt2.12297. |
[16] | Bygum A. Hereditary angio⁃oedema for dermatologists[J]. Dermatology, 2019,235(4):263⁃275. doi: 10.1159/000500196. |
[17] | Mormile I, Palestra F, Petraroli A, et al. Neurologic and psychiatric manifestations of bradykinin⁃mediated angioedema: old and new challenges[J]. Int J Mol Sci, 2023,24(15):12184. doi: 10.3390/ijms241512184. |
[18] | Hsu FI, Lumry W, Riedl M, et al. Considerations in the management of hereditary angioedema due to C1⁃INH deficiency in women of childbearing age[J]. Allergy Asthma Clin Immunol, 2022,18(1):64. doi: 10.1186/s13223⁃022⁃00689⁃9. |
[19] | Martinez⁃Saguer I, Farkas H. Erythema marginatum as an early symptom of hereditary angioedema: case report of 2 newborns[J]. Pediatrics, 2016,137(2):e20152411. doi: 10.1542/peds. 2015⁃2411. |
[20] | Bork K, Meng G, Staubach P, et al. Hereditary angioedema: new findings concerning symptoms, affected organs, and course[J]. Am J Med, 2006,119(3):267⁃274. doi: 10.1016/j.amjmed.2005. 09.064. |
[21] | Kusuma A, Relan A, Knulst AC, et al. Clinical impact of peripheral attacks in hereditary angioedema patients[J]. Am J Med, 2012,125(9):937.e17⁃e24. doi: 10.1016/j.amjmed.2011.12. 016. |
[22] | Maurer M, Magerl M. Differences and similarities in the mechanisms and clinical expression of bradykinin⁃mediated vs. mast cell⁃mediated angioedema[J]. Clin Rev Allergy Immunol, 2021,61(1):40⁃49. doi: 10.1007/s12016⁃021⁃08841⁃w. |
[23] | Bork K, Hardt J, Schicketanz KH, et al. Clinical studies of sudden upper airway obstruction in patients with hereditary angioedema due to C1 esterase inhibitor deficiency[J]. Arch Intern Med, 2003,163(10):1229⁃1235. doi: 10.1001/archinte. 163.10.1229. |
[24] | 张抒扬. 罕见病诊疗指南 (2019 年版)[M]. 北京: 人民卫生出版社, 2019. |
[25] | Busse PJ, Christiansen SC, Riedl MA, et al. US HAEA Medical Advisory Board 2020 guidelines for the management of hereditary angioedema[J]. J Allergy Clin Immunol Pract, 2021,9(1):132⁃150. doi: 10.1016/j.jaip.2020.08.046. |
[26] | Manning ME. Hereditary angioedema: differential diagnosis, diagnostic tests, and family screening[J]. Allergy Asthma Proc, 2020,41(Suppl 1):S22⁃S25. doi: 10.2500/aap.2020.41.200062. |
[27] | Gil⁃Serrano J, Labrador⁃Horrillo M, Galvan⁃Blasco P, et al. Systemic inflammation biomarkers during angioedema attacks in hereditary angioedema[J]. Front Immunol, 2024,15:1400526. doi: 10.3389/fimmu.2024.1400526. |
[28] | 王林霞, 张立明, 史美慧, 等. 慢性自发性荨麻疹伴与不伴血管性水肿患者131例临床特征回顾分析[J]. 中华皮肤科杂志, 2024,57(6):510⁃515. doi:10.35541/cjd.20230544. |
[29] | Cicardi M, Aberer W, Banerji A, et al. Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group[J]. Allergy, 2014,69(5):602⁃616. doi: 10.1111/all.12380. |
[30] | Banerji A, Blumenthal KG, Lai KH, et al. Epidemiology of ACE inhibitor angioedema utilizing a large electronic health record[J]. J Allergy Clin Immunol Pract, 2017,5(3):744⁃749. doi: 10.1016/j.jaip.2017.02.018. |
[31] | Mormile I, Cocchiaro A, Bova M, et al. Gastrointestinal manifestations of angioedema: a potential area of misdiagnosis[J]. Eur J Gastroenterol Hepatol, 2021,33(6):787⁃793. doi: 10.1097/MEG.0000000000001848. |
[32] | Radojicic C. Guidelines for management of hereditary angioedema: what is new? what is missing?[J]. Allergy Asthma Proc, 2022,43(1):12⁃19. doi: 10.2500/aap.2022.43.210086. |
[33] | Can PK, Degi Rmentepe EN, Etikan P, et al. Assessment of disease activity and quality of life in patients with recurrent bradykinin⁃mediated versus mast cell⁃mediated angioedema[J]. World Allergy Organ J, 2021,14(7):100554. doi: 10.1016/j.waojou.2021.100554. |
[34] | Forjaz MJ, Ayala A, Caminoa M, et al. HAE⁃AS: a specific disease activity scale for hereditary angioedema with C1⁃inhibitor deficiency[J]. J Investig Allergol Clin Immunol, 2021,31(3):246⁃252. doi: 10.18176/jiaci.0479. |
[35] | Weller K, Donoso T, Magerl M, et al. Validation of the angioedema control test (AECT)⁃a patient⁃reported outcome instrument for assessing angioedema control[J]. J Allergy Clin Immunol Pract, 2020,8(6):2050⁃2057. doi: 10.1016/j.jaip. 2020.02.038. |
[36] | Kulthanan K, Chularojanamontri L, Rujitharanawong C, et al. Angioedema quality of life questionnaire (AE⁃QoL) ⁃ interpretability and sensitivity to change[J]. Health Qual Life Outcomes, 2019,17(1):160. doi: 10.1186/s12955⁃019⁃1229⁃3. |
[37] | Jean⁃Baptiste M, Itzler R, Prusty S, et al. The symptom experience of hereditary angioedema (HAE) patients beyond HAE attacks: literature review and clinician interviews[J]. Orphanet J Rare Dis, 2022,17(1):232. doi: 10.1186/s13023⁃022⁃02360⁃3. |
[38] | 周宁, 韩小彤, 陈松, 等. 遗传性血管性水肿急诊科诊疗路径[J]. 中国急救医学, 2024,44(2):99⁃105. |
[39] | 张凌凡, 赵宇晗, 李智慧, 等. 遗传性血管性水肿治疗药物的临床研究进展[J]. 世界临床药物, 2020,41(4):319⁃322. doi: 10.13683/j.wph.2020.04.015. |
[40] | Riedl MA, Maurer M, Bernstein JA, et al. Lanadelumab demonstrates rapid and sustained prevention of hereditary angioedema attacks[J]. Allergy, 2020,75(11):2879⁃2887. doi: 10.1111/all.14416. |
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