Evidence map›Paper›PMID 33130967›Full record

ArticleJournal of clinical immunology2021

Hereditary Angioedema with and Without C1-Inhibitor Deficiency in Postmenopausal Women.

Aurore Billebeau, Olivier Fain, David Launay, Isabelle Boccon-Gibod, Laurence Bouillet, Delphine Gobert, Geneviève Plu-Bureau, Anne Gompel, French National Reference Center for Hereditary Angioedema (CREAK)

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

9 authors at 3 institutions in 1 country.

Aurore BillebeauAP-HP, HUPC, Unité de Gynécologie Endocrinienne, Centre de Référence sur les angiœdèmes à kinines (CRéAk), Hôpital Port Royal, Université de Paris, Paris, France.
Olivier FainAP-HP, Médecine Interne, DHUi2B, Centre de Référence associé sur les angiœdèmes à kinines (CRéAk), Hôpital Saint-Antoine, Sorbonne Université, Paris, France.
David LaunayInserm, CHU Lille, U995 - LIRIC - Lille Inflammation Research International Center, Centre de Référence sur les angiœdèmes à kinines (CRéAk), France Service de Médecine Interne, Université de Lille, F-59000, Lille, France.
Isabelle Boccon-GibodUnité Inserm 1036, Service de Médecine Interne, Centre de Référence sur les angiœdèmes à kinines (CRéAk), CHU de Grenoble Alpes, Université Grenoble Alpes, Grenoble, France.
Laurence BouilletUnité Inserm 1036, Service de Médecine Interne, Centre de Référence sur les angiœdèmes à kinines (CRéAk), CHU de Grenoble Alpes, Université Grenoble Alpes, Grenoble, France.
Delphine GobertAP-HP, Médecine Interne, DHUi2B, Centre de Référence associé sur les angiœdèmes à kinines (CRéAk), Hôpital Saint-Antoine, Sorbonne Université, Paris, France.
Geneviève Plu-BureauAP-HP, HUPC, Unité de Gynécologie Endocrinienne, Centre de Référence sur les angiœdèmes à kinines (CRéAk), Hôpital Port Royal, Université de Paris, Paris, France.
Anne GompelAP-HP, HUPC, Unité de Gynécologie Endocrinienne, Centre de Référence sur les angiœdèmes à kinines (CRéAk), Hôpital Port Royal, Université de Paris, Paris, France. anne.gompel@parisdescartes.fr.ORCID 0000-0001-9614-6968
French National Reference Center for Hereditary Angioedema (CREAK)
Centre Hospitalier Universitaire de Grenoble · FRInserm · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMost types of hereditary angioedema (HAE) are worsened by endogenous or exogenous estrogens. Conversely, androgens can improve HAE with abnormal C1-Inhibitor (C1-INH) by increasing C1-INH concentrations. Menopause is associated with an extinction of ovarian estrogenic and androgenic secretion. There is currently insufficient information on postmenopausal women with HAE. The objective of this study was to describe the activity of HAE in postmenopausal women.

methodsThis was a French retrospective, multicenter study in postmenopausal women with HAE with or without C1-INH deficiency/dysfunction. The patients were classified before and after menopause with a previously validated HAE disease severity score.

resultsWe included 65 women from 13 centers in France. The mean age was 62.7± 9.2 years, and the mean time between menopause and inclusion was 12.5± 9.1 years. HAE was associated with C1-INH deficiencyin 88% (n = 57) of the patients, a mutation of factor 12 in 8% (n = 5), a mutation in plasminogen gene in one, and unknown HAE for two. The HAE course was not different after menopause in 46.1% (n = 30), improved in 38.5% (n = 25), and worsened in 15.4% (n = 10). Improvement was correlated with estrogen sensitivity of angioedema before menopause (p = 0.06 for improvement vs no effect or worsening). In addition, we observed that only ten women received treatment (transdermal or oral estradiol+ progestogen) for their menopause symptoms. Among them, only 3 experienced worsening of symptoms (2 on transdermal and 1 on oral estradiol).

conclusionFollowing menopause, most women with HAE remain stable but some worsen. Improvement was mainly observed in patients with previous estrogen sensitivity. More research is required in menopausal women with HAE to better understand how to manage climacteric symptoms.

Indexed as

BiomarkersDisease SusceptibilityPostmenopauseAgedAged, 80 and overAge FactorsAllelesAngioedemas, HereditaryComplement C1 Inhibitor ProteinDisease ProgressionFemaleFranceGenotypeHormonesHumansMiddle AgedBiomarkersComplement C1 Inhibitor ProteinHormonesSERPING1 protein, humanagingandrogenestrogenfemaleHereditary angioedemamenopause

Identifiers

PMID33130967
OpenAlexW3095199063

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.