Unbound MEDLINE

Successful long-term treatment with the bradykinin B2 receptor antagonist icatibant in a patient with hereditary angioedema.

Abstract

BACKGROUND
Hereditary angioedema (HAE) is a rare, autosomal dominant disorder caused by a C1-esterase inhibitor (C1-INH) deficiency (type 1) or qualitative defect (type 2). It is characterized by recurrent subcutaneous or submucosal edema attacks in various organs with a frequency from a few attacks to over one hundred attacks per year.
METHODS
We report on the treatment of 141 attacks in a patient with hereditary angioedema with the bradykinin B2 receptor antagonist icatibant.
RESULTS
During the entire observation period, efficacy of icatibant was maintained and not altered due to repeated administrations. No systemic or cardiovascular side affects were observed.
CONCLUSIONS
In the present case, icatibant proved to be an effective and safe drug for the symptomatic treatment of acute HAE attacks. Its efficacy was not impaired by repeated administrations over a three-year period in this patient.

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  • Publisher Full Text
  • Authors

    Greve J, Hoffmann TK, Schuler P, Lang S, Chaker A, Bas M

    Institution

    Department of Otorhinolaryngology, University Hospital Essen, University Duisburg, Essen, Germany. jens.greve@uk-essen.de

    Source

    International journal of dermatology 50:10 2011 Oct pg 1294-5

    MeSH

    Anti-Inflammatory Agents, Non-Steroidal
    Bradykinin
    Clinical Trials, Phase III as Topic
    Drug Administration Schedule
    Hereditary Angioedema Types I and II
    Humans
    Long-Term Care
    Male
    Middle Aged
    Receptor, Bradykinin B2
    Treatment Outcome

    Pub Type(s)

    Case Reports
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    21950301