PMID- 20538389 OWN - NLM STAT- MEDLINE DCOM- 20110915 LR - 20161018 IS - 1768-3122 (Electronic) IS - 0248-8663 (Linking) VI - 32 IP - 4 DP - 2011 Apr TI - [Bradykinin mediated angioedema]. PG - 225-31 LID - 10.1016/j.revmed.2009.11.021 [doi] AB - Bradykinin angioedema (AE) are characterized by acute recurrent episodes of localized swelling. They are not associated with pruritus or erythema, and are short-lived (24 to 72 hours), disappearing without any sequelae. Corticosteroids are useless. Skin or mucous membranes (upper respiratory and intestinal) could be affected. Bradykinin AE can be secondary to: (1) AE associated with C1 inhibitor deficiency (hereditary or acquired); (2) drug-induced AE (converting enzyme inhibitors...); (3) type III AE type (oestrogen dependant) without C1 inhibitor deficiency. These type III AE can be associated with a gain of function mutation that markedly increases factor XII activity. Prognosis depends on the laryngeal attacks (resulting in 25 % of death in the absence of specific treatment). In case of severe attacks, icatibant (bradykinin receptor antagonist) or C1 inhibitor concentrate can be used. In case of frequent attacks, long-term therapy with danazol or tranexamic acid is effective. CI - Copyright (c) 2010 Societe nationale francaise de medecine interne (SNFMI). Published by Elsevier SAS. All rights reserved. FAU - Bouillet, L AU - Bouillet L AD - Centre de reference sur les angioedemes bradykiniques (CREAK), clinique universitaire de medecine interne, BP 217, 38043 Grenoble cedex 09, France. LBouillet@chu-grenoble.fr FAU - Boccon-Gibod, I AU - Boccon-Gibod I FAU - Massot, C AU - Massot C LA - fre PT - English Abstract PT - Journal Article TT - Les angioedemes bradykiniques hereditaires ou acquis. DEP - 20100609 PL - France TA - Rev Med Interne JT - La Revue de medecine interne JID - 8101383 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Antifibrinolytic Agents) RN - 0 (Complement C1 Inhibitor Protein) RN - 0 (Complement Inactivating Agents) RN - 0 (Estrogen Antagonists) RN - 0 (Genetic Markers) RN - 0 (Vasodilator Agents) RN - S8TIM42R2W (Bradykinin) SB - IM MH - Angioedema/drug therapy/*genetics/physiopathology MH - Angioedemas, Hereditary/genetics MH - Anti-Inflammatory Agents, Non-Steroidal/therapeutic use MH - Antifibrinolytic Agents/therapeutic use MH - Bradykinin/*genetics MH - Complement C1 Inhibitor Protein/genetics MH - Complement Inactivating Agents/metabolism MH - Estrogen Antagonists/therapeutic use MH - Genetic Markers/genetics MH - Humans MH - Prognosis MH - Treatment Outcome MH - Vasodilator Agents/*metabolism EDAT- 2010/06/12 06:00 MHDA- 2011/09/16 06:00 CRDT- 2010/06/12 06:00 PHST- 2009/11/13 00:00 [received] PHST- 2009/11/15 00:00 [accepted] PHST- 2010/06/12 06:00 [entrez] PHST- 2010/06/12 06:00 [pubmed] PHST- 2011/09/16 06:00 [medline] AID - S0248-8663(10)00744-7 [pii] AID - 10.1016/j.revmed.2009.11.021 [doi] PST - ppublish SO - Rev Med Interne. 2011 Apr;32(4):225-31. doi: 10.1016/j.revmed.2009.11.021. Epub 2010 Jun 9.