Evidence map›Paper›PMID 33472202›Full record

ArticleInternational archives of allergy and immunology2021

Acquired Angioedema with C1 Inhibitor Deficiency: Occurrence, Clinical Features, and Management: A Nationwide Retrospective Study in the Czech Republic Patients.

Marta Sobotkova, Radana Zachova, Roman Hakl, Pavel Kuklinek, Pavlina Kralickova, Irena Krcmova, Jana Hanzlikova, Martina Vachova, Jirina Bartunkova

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in International archives of allergy and immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 24 citations in OpenAlex.

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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.

Marta SobotkovaDepartment of Immunology, 2nd Faculty of Medicine Charles University and Motol University Hospital, Prague, Czechia, marta.sobotkova@fnmotol.cz.
Radana ZachovaDepartment of Immunology, 2nd Faculty of Medicine Charles University and Motol University Hospital, Prague, Czechia.
Roman HaklDepartment of Clinical Immunology and Allergology, St Anne's University Hospital in Brno, Faculty of Medicine Masaryk University, Brno, Czechia.
Pavel KuklinekDepartment of Clinical Immunology and Allergology, St Anne's University Hospital in Brno, Faculty of Medicine Masaryk University, Brno, Czechia.
Pavlina KralickovaInstitute of Clinical Immunology and Allergy, University Hospital Hradec Kralove, Faculty of Medicine, Charles University, Hradec Kralove, Czechia.
Irena KrcmovaInstitute of Clinical Immunology and Allergy, University Hospital Hradec Kralove, Faculty of Medicine, Charles University, Hradec Kralove, Czechia.
Jana HanzlikovaDepartment of Immunology and Allergology, University Hospital and Faculty of Medicine in Pilsen, Pilsen, Czechia.
Martina VachovaDepartment of Immunology and Allergology, University Hospital and Faculty of Medicine in Pilsen, Pilsen, Czechia.
Jirina BartunkovaDepartment of Immunology, 2nd Faculty of Medicine Charles University and Motol University Hospital, Prague, Czechia.
Charles University · CZSt. Anne's University Hospital Brno · CZUniversity Hospital Hradec Králové · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcquired angioedema with C1 inhibitor deficiency (AAE-C1-INH) is rare but a potentially life-threatening disease. There are no official prevalence data, nor approved therapies for this condition.

objectiveIn this study, we aimed to collect and analyze clinical data on patients with AAE-C1-INH in the Czech Republic.

methodsWe have conducted a retrospective analysis of AAE-C1-INH patients from Czech referral centers for the treatment of hereditary angioedema with C1 inhibitor deficiency. The inclusion criteria involved recurrent episodes of angioedema with the first manifestation at or after the age of 40, negative family history of angioedema, and C1 inhibitor function 50% or less.

resultsA total of 14 patients (7 males and 7 females) met the inclusion criteria for AAE-C1-INH. The median age of the symptom onset was 59.5 years, and the median diagnosis delay was 1 year. The most common clinical manifestation was facial edema (100%) and upper airway swelling (85.7%). All patients responded to the acute attack treatment with icatibant and plasma-derived or recombinant C1 inhibitor concentrate. Lymphoid malignancy was identified in 9 patients (64%), monoclonal gammopathy of uncertain significance in 3 (21%), and in 1 patient autoimmune disease (ulcerative colitis) was considered causative (7%). We were not able to identify any underlying disease only in 1 patient (7%). In 6 of 7 patients (86%) treated for lymphoma, either a reduction in the frequency of angioedema attacks or both angioedema symptoms' disappearance and complement parameter normalization was observed.

conclusionsThe prevalence of AAE-C1-INH in the Czech Republic is about 1:760,000. This rare condition occurs in approximately 8% of the patients with angioedema with C1 inhibitor deficiency. AAE-C1-INH is strongly associated with lymphoproliferative disorders, and treating these conditions may improve the control of angioedema symptoms.

Indexed as

AdultAgedAged, 80 and overAngioedemas, HereditaryBiomarkersComplement C1 Inhibitor ProteinCzech RepublicDisease ManagementDisease SusceptibilityFemaleHumansMaleMiddle AgedPublic Health SurveillanceRetrospective StudiesSymptom AssessmentBiomarkersComplement C1 Inhibitor ProteinSERPING1 protein, humanAcquired angioedemaBradykininC1 inhibitorLymphoma

Identifiers

PMID33472202
PMCPMC8315685
OpenAlexW3121907067

What OpenQuestion holds

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Registered trials

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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.