지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 264 - 267 (4page)
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초록· 키워드
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Background: Hereditary angioedema is a rare disease caused by a deficiency of C1 inhibitor and inherited in an autosomal dominant manner. It leads to episodic abdominal pain and angioedema which can be life-threatening. Associations between hereditary angioedema and pregnancy have been reported in the literature. The frequency of symptoms increases during pregnancy and the postpartum period. While complications during vaginal delivery are generally known to be rare in patients with heterditary angioedema, acute attack of heterditary angioedema may occur during Cesarean section.
Case History: A 34-year-old pregnant woman was admitted for the induction of labor with suspected preeclampsia. The patient was diagnosed with hereditary angioedema 5 years ago and treated with tranexamic acid when needed. During the first trimester of pregnancy, the incidence of attacks increased but she did not take any medication. She had prophylactic tranexamic acid for 2 weeks before delivery.
Emergency Cesarean section was performed due to fetal deceleration that occurred during labor induction.
Results: After injection of a C1 inhibitor in the phase of anesthesia induction, delivery was successful without any complications.
Conclusion: We report a case of Cesarean section delivery with a prophylactic use of a C1 inhibitor in a patient with hereditary angioedema.
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참고문헌 (20)
참고문헌 신청
Altman AD / 2006 / Hereditary angioedema managed with low-dose danazol and C1 esterase inhibitor concentrate: a case report / J Obstet Gynaecol Can 28 : 27 ~ 31
Bouillet L / 2008 / Disease expression in women with hereditary angioedema / Am J Obstet Gynecol 199 : 484 ~
Bowen T / 2010 / 2010 International consensus algorithm for the diagnosis, therapy and management of hereditary angioedema / Allergy Asthma Clin Immunol 6 : 24 ~
Caballero T / 2012 / International consensus and practical guidelines on the gynecologic and obstetric management of female patients with hereditary angioedema caused by C1 i
Caliskaner Z / 2007 / A successful pregnancy and uncomplicated labor with C1INH concentrate prophylaxis in a patient with hereditary angioedema / Allergol Immunopathol(Madr)
Bouillet L / 2008 / Disease expression in women with hereditary angioedema / Am J Obstet Gynecol 199 : 484 ~
Bowen T / 2010 / 2010 International consensus algorithm for the diagnosis, therapy and management of hereditary angioedema / Allergy Asthma Clin Immunol 6 : 24 ~
Caballero T / 2012 / International consensus and practical guidelines on the gynecologic and obstetric management of female patients with hereditary angioedema caused by C1 i
Caliskaner Z / 2007 / A successful pregnancy and uncomplicated labor with C1INH concentrate prophylaxis in a patient with hereditary angioedema / Allergol Immunopathol(Madr)
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