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Hereditary angioedema type 2
Disease definition
Hereditary angioedema type 2 (HAE 2) is a form of hereditary angioedema (see this term) characterized by acute edema in subcutaneous tissues, viscera and/or the upper airway.
ORPHA:100051
Classification level: Subtype of disorderSummary
Epidemiology
Prevalence is unknown. HAE 2 is the less common form of HAE, accounting for 15% of HAE cases and is seen equally in men and women.
Clinical description
Like HAE 1 and 3 (see these terms) it occurs generally in childhood with symptoms becoming more severe in adolescence. Precipitating factors of HAE 2 thought to trigger attacks include: trauma, anxiety, puberty, infection, alcohol consumption, exercise and stress.
Etiology
It is caused by deletions, frameshift or splice mutations in the SERPING1 gene encoding the C1 inhibitor (C1-INH). These mutations cause a decrease in C1-INH activity (while C1 inhibitor serum levels remain normal) leading to an increase in bradykinin formation.
Management and treatment
Treatment usually consists of intravenous C1 inhibitor concentrate or subcutaneous administration of the orphan drug icatibant (bradykinin receptor antagonist). Prophylaxis with danazol is often given before surgical procedures.
A summary on this disease is available in Deutsch (2011) Español (2011) Français (2011) Italiano (2011) Nederlands (2011) Greek (2011, pdf) Polski (2011, pdf)
Detailed information
General public
- Article for general public
- Svenska (2022) - Socialstyrelsen
Guidelines
- Emergency guidelines
- English (2009, pdf) - Orphanet Urgences
- Italiano (2009, pdf) - Orphanet Urgences
- Português (2009, pdf) - Orphanet Urgences
- Español (2017, pdf) - Orphanet Urgences
- Français (2021, pdf) - Orphanet Urgences
- Clinical practice guidelines
- English (2010) - Allergy Asthma Clin Immunol
- Français (2021) - PNDS
Disease review articles
- Review article
- English (2012) - Lancet
Disability
- Disability factsheet
- Français (2018, pdf) - Orphanet
Clinical Outcome Assessment (COA)
- Patient-Centered Outcome Measures (PCOMs)
- English (2023) - PROQOLIDTM


Additional information