Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review

Hereditary angioedema (HAE) is a rare disorder caused by a deficiency of C1 esterase inhibitor. Minor trauma and emotional stress are the most common initiating events leading to contact system activation and excessive uncontrolled bradykinin release. This manifests as angioedema, a vascular reactio...

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Main Authors: Aravind Narayanan, Rohit R. Date, Sanathkumar Birur, Pradipta Bhakta, Sinnakirouchenane Srinivasan
Format: Article
Language:English
Published: Sultan Qaboos University 2013-08-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1852
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author Aravind Narayanan
Rohit R. Date
Sanathkumar Birur
Pradipta Bhakta
Sinnakirouchenane Srinivasan
author_facet Aravind Narayanan
Rohit R. Date
Sanathkumar Birur
Pradipta Bhakta
Sinnakirouchenane Srinivasan
author_sort Aravind Narayanan
collection DOAJ
description Hereditary angioedema (HAE) is a rare disorder caused by a deficiency of C1 esterase inhibitor. Minor trauma and emotional stress are the most common initiating events leading to contact system activation and excessive uncontrolled bradykinin release. This manifests as angioedema, a vascular reaction of the deeper layers of the skin and mucous membranes, with vasodilatation and increased permeability resulting in tissue swelling. Severe angioedema can occur in the perioperative period, leading to fatal airway obstruction. We describe the anaesthetic management of a child with HAE for dental rehabilitation and provide an review of the relevant literature.
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spelling doaj.art-c16f54fde4584f0cbd66ebbff1cdef012022-12-22T01:38:23ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282013-08-011334674711776Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature reviewAravind Narayanan0Rohit R. Date1Sanathkumar Birur2Pradipta Bhakta3Sinnakirouchenane Srinivasan4Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, OmanHereditary angioedema (HAE) is a rare disorder caused by a deficiency of C1 esterase inhibitor. Minor trauma and emotional stress are the most common initiating events leading to contact system activation and excessive uncontrolled bradykinin release. This manifests as angioedema, a vascular reaction of the deeper layers of the skin and mucous membranes, with vasodilatation and increased permeability resulting in tissue swelling. Severe angioedema can occur in the perioperative period, leading to fatal airway obstruction. We describe the anaesthetic management of a child with HAE for dental rehabilitation and provide an review of the relevant literature.https://journals.squ.edu.om/index.php/squmj/article/view/1852anesthesiahereditary angioedemac1 esterase inhibitor deficiencycase reportoman.
spellingShingle Aravind Narayanan
Rohit R. Date
Sanathkumar Birur
Pradipta Bhakta
Sinnakirouchenane Srinivasan
Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review
Sultan Qaboos University Medical Journal
anesthesia
hereditary angioedema
c1 esterase inhibitor deficiency
case report
oman.
title Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review
title_full Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review
title_fullStr Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review
title_full_unstemmed Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review
title_short Anaesthesia Management of a Patient with Hereditary Angioedema with Prophylactic Administration of C1 Esterase Inhibitor : Case report and literature review
title_sort anaesthesia management of a patient with hereditary angioedema with prophylactic administration of c1 esterase inhibitor case report and literature review
topic anesthesia
hereditary angioedema
c1 esterase inhibitor deficiency
case report
oman.
url https://journals.squ.edu.om/index.php/squmj/article/view/1852
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