Uncovering the true burden of hereditary angioedema due to C1-inhibitor deficiency : A focus on the Asia-Pacific region

Crown Copyright © 2023. Published by Elsevier Inc. All rights reserved..

Hereditary angioedema (HAE) due to C1-inhibitor deficiency or dysfunction is a rare genetic disorder that causes recurrent episodes of swelling in various parts of the body. Treatment goals of HAE aim to "normalize" life for all patients; however, lack of diagnostic facilities and limited access to effective treatment options in developing nations cause delays in diagnosis and place a significant burden on patients. In this review, we aim to highlight the burden of disease caused by C1-inhibitor HAE across the Asia-Pacific region, considering its epidemiology, morbidity and mortality, and socioeconomic and psychological impact. We also review the availability of guideline-recommended diagnostic facilities and treatments, and how patients are currently managed. Data were collected from published literature and HAE experts in the region, who provided information regarding diagnosis and management in their countries. Current practice was reviewed against international guidelines, as well as local guidelines/consensus used in Australia, Japan, and China. Suggestions are provided for improving the time to diagnosis in the region, increasing access to guideline-recommended treatments, and providing support to reduce the burden on patients and caregivers. There is an urgent need to improve HAE services and provide access to life-saving treatment in developing countries, and efforts should be made to increase awareness of guideline recommendations in high-income economies that do not currently provide long-term prophylactic treatments.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:153

Enthalten in:

The Journal of allergy and clinical immunology - 153(2024), 1 vom: 01. Jan., Seite 42-54

Sprache:

Englisch

Beteiligte Personen:

Honda, Daisuke [VerfasserIn]
Li, Philip Hei [VerfasserIn]
Jindal, Ankur Kumar [VerfasserIn]
Katelaris, Constance H [VerfasserIn]
Zhi, Yu-Xiang [VerfasserIn]
Thong, Bernard Yu-Hor [VerfasserIn]
Longhurst, Hilary J [VerfasserIn]

Links:

Volltext

Themen:

Androgens
Asia-Pacific
Berotralstat
C1 esterase inhibitor
C1 inhibitor
Complement C1 Inhibitor Protein
Equity
Hereditary angioedema
Icatibant
Journal Article
Lanadelumab
Long-term prophylaxis
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 08.01.2024

Date Revised 16.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jaci.2023.09.039

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363904212