• J Allergy Clin Immunol Pract · Sep 2013

    Practice Guideline

    US Hereditary Angioedema Association Medical Advisory Board 2013 recommendations for the management of hereditary angioedema due to C1 inhibitor deficiency.

    • Bruce L Zuraw, Aleena Banerji, Jonathan A Bernstein, Paula J Busse, Sandra C Christiansen, Mark Davis-Lorton, Michael M Frank, Henry H Li, William R Lumry, Marc Riedl, and US Hereditary Angioedema Association Medical Advisory Board.
    • Division of Rheumatology, Allergy and Immunology, Department of Medicine, University of California San Diego, La Jolla, Calif; Medicine Service, San Diego Veterans Administration Healthcare, San Diego, Calif. Electronic address: bzuraw@ucsd.edu.
    • J Allergy Clin Immunol Pract. 2013 Sep 1; 1 (5): 458-67.

    BackgroundThe treatment of hereditary angioedema (HAE) has undergone dramatic changes as newer medicines have become available in recent years. Optimal care of these patients requires a comprehensive management plan. Although several consensus papers have been published concerning the diagnosis and treatment of HAE, guidelines for a comprehensive management plan have not been developed.ObjectiveTo develop state-of-the-art recommendations for the treatment and management of HAE due to C1 inhibitor (C1INH) deficiency in the United States.MethodsMembers of the US Hereditary Angioedema Association Medical Advisory Board began by reviewing the literature concerning treatment of HAE. Preliminary recommendations were developed based on the literature review, discussions in a face-to-face meeting, and refinements in a series of drafts. Final recommendations reflect the unanimous consensus of the medical advisory board and the US Hereditary Angioedema Association leadership.ResultsRecommendations are provided regarding a comprehensive care plan for HAE, including the following: development of an overall management plan, treatment of angioedema attacks, prophylactic treatment, and patient monitoring.ConclusionA comprehensive individualized management plan developed between an expert HAE physician and the patient, in collaboration with local medical providers and emergency departments, can provide patients with the best opportunity to lead a normal life.Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

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