Hereditary angio-oedema with C1 inhibitor deficiency: Characteristics and diagnostic delay of Czech patients from one centre

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00065840" target="_blank" >RIV/00159816:_____/16:00065840 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/16:00088875

Result on the web

<a href="http://dx.doi.org/10.1016/j.aller.2015.09.003" target="_blank" >http://dx.doi.org/10.1016/j.aller.2015.09.003</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.aller.2015.09.003" target="_blank" >10.1016/j.aller.2015.09.003</a>

Result language

angličtina

Original language name

Hereditary angio-oedema with C1 inhibitor deficiency: Characteristics and diagnostic delay of Czech patients from one centre

Original language description

Background: Hereditary angio-oedema (HAE) is manifested by repeated episodes of localisedsubcutaneous or sub-mucosal oedema. Symptoms are extremely variable in frequency, local isation, and severity. Atypical or mild clinical symptoms of the disease may lead to erroneous diagnosis, causing diagnostic delay. The goal of this study was to assess how diagnostic delay has changed over 33 years at a single referral centre. Methods: We analysed diagnostic delay and first symptoms of HAE in patients who were diagnosed at an immunology department between 1980 and 2013. Patient's records were analysed. Results: The median diagnostic delay in 77 HAE type 1 and 2 patients was seven (range, 0-42) years. The difference observed in diagnostic delay between probands (18 [0-42] years) and others (1 [0-37] year) was significant (p < 0.001). Our data show a significant negative correlation between the length of diagnostic delay and the year of diagnosis in our group of patients (p= 0.024). The median age of first symptoms among all HAE patients (N=64) was 17 (1-40) years. The first symptoms of HAE in 64 patients were analysed. Twenty-six patients had abdominal, seventeen peripheral, five facial, two urogenital, and three had laryngeal oedema as the first manifestation of the disease. The last death that was attributed to HAE was in 1977. Conclusions: Our observations demonstrate improved awareness of HAE among physicians, as documented by the significant decrease in diagnostic delay. It is believed that earlier treatment will improve patient quality of life and life expectancy.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FN - Epidemiology, infection diseases and clinical immunology

OECD FORD branch

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Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Allergologia et Immunopathologia

ISSN

0301-0546

e-ISSN

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Volume of the periodical

44

Issue of the periodical within the volume

3

Country of publishing house

ES - SPAIN

Number of pages

5

Pages from-to

241-245

UT code for WoS article

000376333200009

EID of the result in the Scopus database

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