Year 2023 / Volume 115 / Number 7
Letter
Recurrent abdominal pain as the only clinical manifestation of hereditary angioedema type II

392-393

DOI: 10.17235/reed.2022.9119/2022

Daniel Muíño-Domínguez, Lorena Carballo-Folgoso, Luis Martínez Camblor, Marta García Calonge, Maria Helena González Sánchez, Isabel Pérez-Martínez, Ruth de Francisco, Sabino Riestra,

Abstract
Recurrent abdominal pain is a common reason for consultation in Gastroenterology. The differential diagnosis includes hereditary angioedema (HAE), a rare disorder characterized by recurrent episodes of angioedema, without urticaria or pruritus, which most often affects the skin, but also mucosal tissues of the gastrointestinal tract, triggered by diverse factors such as infections, trauma, surgery, drugs, or stress. It is a disease with a difficult diagnosis due to its heterogeneous and transitory clinical features, so having a clinical suspicion in the appropriate context would allow the administration of a specific treatment and avoid unnecessary examinations. We present the case of a 19-year-old male followed-up for recurrent abdominal pain that, after numerous microbiological, endoscopic, and radiological examinations, complement tests were requested, obtaining low levels of C4 with increased levels of C1 inhibitor and reduced functional activity, being diagnosed with HAE type II.
Share Button
New comment
Comments
No comments for this article
References
1. Roche O, Blanch A, Caballero T, et al. Hereditary angioedema due to C1 inhibitor deficiency: patient registry and approach to the prevalence in Spain. Ann Allergy Asthma Immunol 2005; 94:498.
2. Patel N, Suarez LD, Kapur S, et al. Hereditary Angioedema and Gastrointestinal Complications: An Extensive Review of the Literature. Case Reports Immunol. 2015.
3. Proper SP, Lavery WJ, Bernstein JA. Definition and classification of hereditary angioedema. Allergy Asthma Proc. 2020
4. González Sánchez FJ, Galante MJ, González-Carreró SC, et al. Small bowel angioedema. An unusual condition with an interesting differential diagnosis. Rev Esp Enferm Dig. 2022 Mar;114(3):178-179.
5. Henry Li H, Riedl M, Kashkin J. Update on the Use of C1-Esterase Inhibitor Replacement Therapy in the Acute and Prophylactic Treatment of Hereditary Angioedema. Clin Rev Allergy Immunol 2019; 56:207.
Related articles
Citation tools
Muíño-Domínguez D, Carballo-Folgoso L, Martínez Camblor L, García Calonge M, González Sánchez M, Pérez-Martínez I, et all. Recurrent abdominal pain as the only clinical manifestation of hereditary angioedema type II. 9119/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1067 visits.
This article has been downloaded 106 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 04/08/2022

Accepted: 29/08/2022

Online First: 30/09/2022

Published: 06/07/2023

Article Online First time: 57 days

Article editing time: 336 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology