Managing the female patient with hereditary angioedema

Womens Health (Lond). 2016 Jun;12(3):351-61. doi: 10.2217/whe.16.6. Epub 2016 Mar 15.

Abstract

Hereditary angioedema (HAE) is a rare disorder resulting from decreased functional levels of C1-inhibitor (C1-INH), which manifests as periodic episodes of localized edema which can be extremely painful, debilitating and even fatal if the swelling affects the larynx. HAE can complicate many aspects of obstetric/gynecologic care, and an awareness of the disease is critical for clinicians involved in the care of women because of potential HAE-related complications pertaining to pregnancy, labor and delivery, and other women's health issues. This article provides a review of published literature specific to HAE and its management in female patients, including important concerns regarding obstetric/gynecologic care. A growing body of relevant experience is presented to help guide the care of women with HAE.

Keywords: C1-inhibitor; ecallantide; hereditary angioedema; icatibant; women.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angioedemas, Hereditary / drug therapy*
  • Angioedemas, Hereditary / prevention & control
  • Antifibrinolytic Agents / therapeutic use
  • Complement C1 Inactivator Proteins / therapeutic use*
  • Complement C1 Inhibitor Protein
  • Disease Management
  • Female
  • Humans

Substances

  • Antifibrinolytic Agents
  • Complement C1 Inactivator Proteins
  • Complement C1 Inhibitor Protein
  • SERPING1 protein, human