Publication details

Safety of recombinant human C1 esterase inhibitor for hereditary angioedema attacks during pregnancy

Authors

MOLDOVAN Dumitru BERNSTEIN Jonathan A. HAKL Roman POREBSKI Grzegorz POARCH Kimberly LUMRY William R. RELAN Anurag

Year of publication 2019
Type Article in Periodical
Magazine / Source JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
MU Faculty or unit

Faculty of Medicine

Citation
Web http://dx.doi.org/10.1016/j.jaip.2019.05.042
Doi http://dx.doi.org/10.1016/j.jaip.2019.05.042
Keywords C1-INHIBITOR CONCENTRATE
Description Hereditary angioedema (HAE) is a rare (<1 in 50,000) ge-netic disorder characterized by episodes of cutaneous andmucosal angioedema. HAE is caused by insufficient suppressionof complement and contact-system cascades due to a deficiencyof functional C1 inhibitor (C1-INH). It has been demonstratedthat HAE abdominal attacks are more frequent during preg-nancy, but there is no consensus on which trimester is mostassociated with increased attack rates.Some data suggest thatmore severe attacks and symptoms occur during thefirsttrimester, whereas other data suggest a greater number of attacksin the second and third trimesters. Changes in hormone levelsduring pregnancy may exacerbate HAE attacks, and concernswith administration of certain medications during pregnancy cancomplicate HAE management.

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