Evidence map›Paper›PMID 24588117›Full record

Trial reportClinical and experimental immunology2014

C-reactive protein levels in hereditary angioedema.

Z L M Hofman, A Relan, C E Hack

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Biomarkers in Hereditary Angioedema.Clinical reviews in allergy & immunology · 2021
    Review
  5. Article
  6. [Gender aspects in angioedema].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2019
    Review
  7. Article
  8. Secreted Phospholipases AFrontiers in immunology · 2018
    Article
  9. "Nuts and Bolts" of Laboratory Evaluation of Angioedema.Clinical reviews in allergy & immunology · 2016
    Review
  10. Hereditary Angioedema Attacks: Local Swelling at Multiple Sites.Clinical reviews in allergy & immunology · 2016
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Z L M HofmanLaboratory for Translational Immunology, University Medical Centre Utrecht, Utrecht, The Netherlands.
A Relan
C E Hack
University Medical Center Utrecht · NLPharming Group (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary angioedema (HAE) patients experience recurrent episodes of angioedema attacks that can be painful, disfiguring and even life-threatening. The disorder results from a mutation in the gene that controls the synthesis of C1-inhibitor (C1INH). C1INH is a major regulator of activation of the contact system. It is often assumed that attacks results from uncontrolled local activation of the contact system with subsequent formation of bradykinin. To evaluate the involvement of inflammatory reactions in HAE, we analysed C-reactive protein (CRP) levels. HAE patients included in a clinical database of recombinant human C1-inhibitor (rhC1INH) studies were evaluated. For the current study we analysed CRP levels when patients were asymptomatic, during a clinical attack and in a follow-up period, and correlated these with the clinical manifestations of the attack. Data from 68 HAE patients were analysed and included CRP levels on 273 occasions. While asymptomatic, 20% of the patients analysed had increased CRP. At the onset of the attack (P = 0·049) and during the next 24 h CRP rose significantly (P = 0·002) in patients with an abdominal location, and post-attack levels were significantly higher in these patients than in patients with attacks at other locations (P = 0·034). In conclusion, CRP levels are elevated in a substantial proportion of asymptomatic HAE patients. Levels of CRP increase significantly during an abdominal attack. These data suggest low-grade systemic inflammatory reactions in HAE patients as well as a triggering event for attacks that starts prior to symptom onset.

Indexed as

Asymptomatic DiseasesAbdomenAcute DiseaseAdolescentAgedAngioedemas, HereditaryBradykininComplement C1 Inactivator ProteinsComplement C1 Inhibitor ProteinC-Reactive ProteinDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedBradykininComplement C1 Inactivator ProteinsComplement C1 Inhibitor ProteinC-Reactive ProteinRecombinant ProteinsSERPING1 protein, humanbradykinin receptorC-reactive proteinhereditary angioedema

Identifiers

PMID24588117
PMCPMC4089178
OpenAlexW1509475752

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.