Erythema Marginatum as an Early Symptom of Hereditary Angioedema: Case Report of 2 Newborns.

Abstract:

:Hereditary angioedema due to C1 inhibitor deficiency (C1-INH-HAE) is a rare genetic disease that causes recurrent swelling attacks that may affect various body tissues. Angioedematous attacks can be fatal in the case of upper airway edema and are often preceded by prodromal symptoms like erythema marginatum. Initial symptoms usually occur in the first decade of life. We report on manifestation of profound and recurrent erythema marginatum in 2 newborns. In both cases, prodromal symptoms could help determine the diagnosis of C1-INH-HAE such that, at a later time, angioedematous attacks could be treated promptly and effectively. Awareness of C1-INH-HAE is low among physicians and even lower among the general public. This report aims at raising the level of awareness and shows that initial symptoms of the potentially life-threatening condition can manifest in newborns and that erythema marginatum can even be present at birth. Recognition of early symptoms and timely diagnosis of the disease along with adequate education of the pediatrician and parents are a prerequisite for prompt and effective treatment of attacks and the successful management of the disease.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Martinez-Saguer I,Farkas H

doi

10.1542/peds.2015-2411

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

e20152411

issue

2

eissn

0031-4005

issn

1098-4275

pii

peds.2015-2411

journal_volume

137

pub_type

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