Consensus statement on the diagnosis, management, and treatment of angioedema mediated by bradykinin. Part I. Classification, epidemiology, pathophysiology, genetics, clinical symptoms, and diagnosis

J Investig Allergol Clin Immunol. 2011;21(5):333-47; quiz follow 347.

Abstract

Background: There are no Spanish guidelines or consensus statement on bradykinin-induced angioedema.

Aim: To review the pathophysiology, genetics, and clinical symptoms of the different types of bradykinin-induced angioedema and to draft a consensus statement in light of currently available scientific evidence and the experience of experts. This statement will serve as a guideline to health professionals.

Methods: The consensus was led by the Spanish Study Group on Bradykinin-Induced Angioedema (SGBA), a working group of the Spanish Society of Allergology and Clinical Immunology. A review was conducted of scientific papers on different types of bradykinin-induced angioedema (hereditary and acquired angioedema due to C1 inhibitor deficiency, hereditary angioedema related to estrogens, angioedema induced by angiotensin-converting enzyme inhibitors). Several discussion meetings of the SGBA were held in Madrid to reach the consensus.

Results: The pathophysiology, genetics, and clinical symptoms of the different types of angioedema are reviewed. Diagnostic approaches are discussed and the consensus reached is described.

Conclusions: A review of bradykinin-induced angioedema and a consensus on diagnosis are presented.

Publication types

  • Consensus Development Conference
  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angioedema* / classification
  • Bradykinin / adverse effects*
  • Bradykinin / therapeutic use
  • Coronary Vasospasm / drug therapy*
  • Drug Hypersensitivity / diagnosis
  • Drug Hypersensitivity / epidemiology
  • Drug Hypersensitivity / genetics
  • Drug Hypersensitivity / physiopathology*
  • Emergency Medical Services
  • Evidence-Based Medicine
  • Expert Testimony
  • Humans
  • Practice Guidelines as Topic
  • Risk Factors
  • Spain
  • Vasodilator Agents / adverse effects*
  • Vasodilator Agents / therapeutic use

Substances

  • Vasodilator Agents
  • Bradykinin