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首页> 外文期刊>Annals of allergy, asthma, and immunology >Management of hereditary angioedema in 2012: Scientific and pharmacoeconomic perspectives
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Management of hereditary angioedema in 2012: Scientific and pharmacoeconomic perspectives

机译:2012年遗传性血管性水肿的管理:科学和药物经济学观点

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Hereditary angioedema (HAE) is an autosomal dominant disease characterized by recurrent episodes of edema involving the skin, gastrointestinal tract, and/or airway. With a prevalence of approximately 1 in 50,000, HAE is rare, affecting fewer than 10,000 people in the United States.1 There is a range of severity and frequency of symptoms in patients with HAE. Some patients experience relatively mild symptoms on rare occasions, others have symptoms 1 or more times each month, and still others have recurrent debilitating attacks that may lead to tragic outcomes, including narcotic addiction and/or inappropriate surgery due to recurrent acute abdominal pain from intestinal edema. Laryngeal edema leading to death or near-death from asphyxiation may also occur, sometimes in patients who had not previously had severe symptoms.2 As a group, HAE patients are more likely to require frequent emergency department visits and hospitalizations, consistently miss work or school, and endure the negative psychosocial effect of HAE as a chronic disease.3 The morbidity and potential mortality of HAE, if untreated, are therefore profound, especially for those with moderate or severe symptoms.
机译:遗传性血管性水肿(HAE)是常染色体显性疾病,其特征是反复出现水肿,累及皮肤,胃肠道和/或气道。 HAE的患病率约为50,000分之一,在美国影响不到10,000人。1HAE患者的症状严重程度和发生频率各不相同。一些患者在极少数情况下会出现相对轻度的症状,其他患者每月会出现1次或多次症状,还有一些患者会反复出现使人衰弱的发作,可能导致悲剧性后果,包括麻醉性成瘾和/或由于肠道反复发作的急性腹痛引起的不当手术。浮肿。有时甚至在以前没有严重症状的患者中也可能发生导致窒息死亡或濒临死亡的喉头水肿。2作为一个整体,HAE患者更可能需要经常去急诊室就诊和住院,持续缺勤或上学,并忍受HAE作为慢性疾病的负面社会心理影响。3因此,如果不加以治疗,HAE的发病率和潜在死亡率是巨大的,尤其是对于那些具有中度或严重症状的人。

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