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Hereditary Angioedema

Hereditary Angioedema. Initially described by Osler in 1888, HAE is an autosomal dominant disease caused by a deficiency in functional C1 inhibitor. More than 150 point mutations of SERPING1 (the gene encoding for C1-INH) have been described Prevalence 1:50000 (rare disease).

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Hereditary Angioedema

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  1. Hereditary Angioedema • Initially described by Osler in 1888, HAE is an autosomal dominant disease caused by a deficiency in functional C1 inhibitor. • More than 150 point mutations of SERPING1 (the gene encoding for C1-INH) have been described • Prevalence 1:50000 (rare disease)

  2. C1 inhibitor (C1-INH) deficiency presents in congenital hereditary angioedema (HAE) • HAE-C1-INH Type I with low C1-INH protein and function (85% of cases; autosomal dominant); • HAE-C1-INH Type II with normal protein but low function (15% of cases; autosomal dominant); • HAE Type III hereditary angioedema with normal C1 inhibitor protein and function (estrogen-dependent inherited form found mostly in females; some with defects in coagulation factor XII, HAE-FXII; others of unknown defect, HAE-Unknown)

  3. Registro Toscano Malattie RareCoordinamento Malattie Rare HAE fa parte del gruppo di malattie immunologiche (coordinatore Regionale Prof. E. Maggi) Presidio di riferimento per la Regione Toscana Sezione di Immunoallergologia e Malattie Respiratorie, Dipartimento di Medicina Interna, AOUC, Firenze Dir Prof. E. Maggi (+39-055-4271049, e.maggi@dmi.unifi.it) Codice Esenzione Angioedema Ereditario RC0190 (N° casi 21) Angioedema Acquisito con deficit di C1INH RC0191 (N° casi 427)

  4. DIAGNOSTIC ALGORITHM

  5. To learn from international experience in HAE, the first C1-INH Deficiency Workshop was convened by the Hungarian HAE Center in May 1999 and they have organized ongoing workshops every two years. The 6th International C1-INH Deficiency Workshop was held in May 2009 in Budapest http://www.haenet.hu/new/index2.html.

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