Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns

Hereditary angioedema (HAE) is a genetically caused orphan disease with a high risk of developing life-threatening attacks, thus requiring availability for up-to-date information on this problem for the doctors of any specialties. A limited number of observations determine the value of the analysis...

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Main Authors: E. N. Bobrikova, A. R. Denisova, T. S. Kotomina, S. A. Serdotetskova, D. S. Fomina
Format: Article
Language:Russian
Published: St. Petersburg branch of the Russian Association of Allergologists and Clinical Immunologists 2020-05-01
Series:Медицинская иммунология
Subjects:
Online Access:https://www.mimmun.ru/mimmun/article/view/1930
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author E. N. Bobrikova
A. R. Denisova
T. S. Kotomina
S. A. Serdotetskova
D. S. Fomina
author_facet E. N. Bobrikova
A. R. Denisova
T. S. Kotomina
S. A. Serdotetskova
D. S. Fomina
author_sort E. N. Bobrikova
collection DOAJ
description Hereditary angioedema (HAE) is a genetically caused orphan disease with a high risk of developing life-threatening attacks, thus requiring availability for up-to-date information on this problem for the doctors of any specialties. A limited number of observations determine the value of the analysis for each clinical case. Many facets of clinical manifestations, a list of predisposing and triggering factors, as well as limitations of some diagnostic and therapeutic algorithms, require the development of individual management schemes under distinct clinical situations. In this paper, we present the unique clinical cases with certain limitations, describing unexpected onset of the disease in the course of pregnancy, management aspects during delivery and post-delivery periods in a women with a previously confirmed HAE diagnosis. Adapted diagnostic algorithms of postnatal diagnostic verification are presented for children with burdened genetic history. We express some assumptions about involvement of a multidisciplinary team of specialists, personalized approach to building a management plan with an “online” correction depending on observation stage of НАЕ patient.
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spelling doaj.art-f20019f670644bdcb0ca9fc2dd2661232025-03-11T17:59:11ZrusSt. Petersburg branch of the Russian Association of Allergologists and Clinical ImmunologistsМедицинская иммунология1563-06252313-741X2020-05-0122357758410.15789/1563-0625-SOI-19301292Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newbornsE. N. Bobrikova0A. R. Denisova1T. S. Kotomina2S. A. Serdotetskova3D. S. Fomina4Сlinical Hospital No. 52First Moscow State I. Sechenov Medical UniversityСlinical Hospital No. 52Сlinical Hospital No. 52Сlinical Hospital No. 52; First Moscow State I. Sechenov Medical UniversityHereditary angioedema (HAE) is a genetically caused orphan disease with a high risk of developing life-threatening attacks, thus requiring availability for up-to-date information on this problem for the doctors of any specialties. A limited number of observations determine the value of the analysis for each clinical case. Many facets of clinical manifestations, a list of predisposing and triggering factors, as well as limitations of some diagnostic and therapeutic algorithms, require the development of individual management schemes under distinct clinical situations. In this paper, we present the unique clinical cases with certain limitations, describing unexpected onset of the disease in the course of pregnancy, management aspects during delivery and post-delivery periods in a women with a previously confirmed HAE diagnosis. Adapted diagnostic algorithms of postnatal diagnostic verification are presented for children with burdened genetic history. We express some assumptions about involvement of a multidisciplinary team of specialists, personalized approach to building a management plan with an “online” correction depending on observation stage of НАЕ patient.https://www.mimmun.ru/mimmun/article/view/1930angioedemahereditarypregnancybreastfeedingnewbornschildren
spellingShingle E. N. Bobrikova
A. R. Denisova
T. S. Kotomina
S. A. Serdotetskova
D. S. Fomina
Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
Медицинская иммунология
angioedema
hereditary
pregnancy
breastfeeding
newborns
children
title Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
title_full Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
title_fullStr Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
title_full_unstemmed Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
title_short Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
title_sort significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation and in newborns
topic angioedema
hereditary
pregnancy
breastfeeding
newborns
children
url https://www.mimmun.ru/mimmun/article/view/1930
work_keys_str_mv AT enbobrikova significanceofindividualmanagementplanforthepatientswithhereditarylymphangioedemaduringpregnancyandlactationandinnewborns
AT ardenisova significanceofindividualmanagementplanforthepatientswithhereditarylymphangioedemaduringpregnancyandlactationandinnewborns
AT tskotomina significanceofindividualmanagementplanforthepatientswithhereditarylymphangioedemaduringpregnancyandlactationandinnewborns
AT saserdotetskova significanceofindividualmanagementplanforthepatientswithhereditarylymphangioedemaduringpregnancyandlactationandinnewborns
AT dsfomina significanceofindividualmanagementplanforthepatientswithhereditarylymphangioedemaduringpregnancyandlactationandinnewborns