Angioedema: therapeutic and diagnosis approach

Authors

  • Ricardo Cardona
  • Liliana Tamayo
  • Mauricio Fernando Escobar

Keywords:

Angioedema, urticaria, hereditary angioedema

Abstract

Although was discovered more than 100 years ago, the origin, pathophysiology and management of the several types of angioedema are poorly understood by most family doctors. Angioedema can be caused by activation of kinin formation or mast cell degranulation. Angiotensin-converting enzyme inhibitor-induced angioedema is caused by the inhibition of enzymatic degradation of bradykinin. A variety of the nonsteroidal anti-inflammatory drugs can cause angioedema, aspirin being the most common. Idiopathic acquired angioedema is frequently chronic and relapsing, and usually associated with urticaria. As its name implies it normally cannot be attributed to an identifiable cause. 
Hereditary angioedema is a disorder characterized by repeated episodes of swelling of the skin, respiratory and gastrointestinal tract mucosae resulting from a disfunction or defect in the C1 esterase inhibitor. The disease is hereditary with inheritance autosomal dominant. Recently a third form of hereditary angioedema has been reported by several groups occurring exclusively in women with quantitatively and functionally normal C1 inhibitor activity with a relationship to estrogenic activity. Acquired angioedema has been described in patients with lymphoma who have depressed C1 inhibitor levels or autoantibody directed to that protein.

Author Biographies

Ricardo Cardona

Alergólogo Clínico, Magíster en Inmunología, Coordinador de la Especialidad en Alergología Clínica, Facultad de Medicina, Universidad de Antioquia. Medellín_ Colombia.

Liliana Tamayo

Dermatóloga, Docente de Alergología Clínica, Facultad de Medicina, Universidad de Antioquia. Medellín_ Colombia.

Mauricio Fernando Escobar

Residente de II año de la Especialidad en Alergología Clínica, Facultad de Medicina, Universidad de Antioquia. Medellín_ Colombia

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How to Cite

1.
Cardona R, Tamayo L, Escobar MF. Angioedema: therapeutic and diagnosis approach. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 1 [cited 2024 Jul. 3];15(3):187-202. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/69

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Published

2019-02-01

How to Cite

1.
Cardona R, Tamayo L, Escobar MF. Angioedema: therapeutic and diagnosis approach. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 1 [cited 2024 Jul. 3];15(3):187-202. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/69

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Continuing medical education
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