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Published on: September 28, 2015
Exogenous hormones and hereditary angioedema
Anne Gompel1, Olivier Fain2, Isabelle Boccon-Gibod3
1Université Paris Descartes, Gynécologie, 123 BD Du Port Royal, 75014 Paris, France; National Reference Centre for Angioedema (CREAK), France.
Estrogen may worsen hereditary angioedema (HAE) attacks, while androgen offers potential long-term prophylactic treatment. This review explores hormone impacts on HAE in men and women.
Area of Science:
- Endocrinology
- Immunology
- Genetics
Background:
- Gonadal hormones, specifically estrogen and androgen, significantly influence bradykinin production.
- Bradykinin plays a crucial role in the pathophysiology of hereditary angioedema (HAE).
Purpose of the Study:
- To elucidate the impact of estrogen on hereditary angioedema pathophysiology.
- To review hormonal treatments and their effects on HAE course in both women and men.
Main Methods:
- Literature review focusing on hormonal influences in HAE.
- Analysis of studies concerning estrogen and androgen in HAE.
- Examination of hormone treatments including contraception, ART, menopause management, and cancer therapies.
Main Results:
- Estrogen may exacerbate HAE symptoms.
- Androgen demonstrates potential as a long-term prophylactic treatment for HAE.
- Hormone therapies like contraception, ART, and menopause management require careful consideration in HAE patients.
Conclusions:
- Hormonal modulation is critical in managing hereditary angioedema.
- Personalized treatment strategies considering gonadal hormone status are essential for effective HAE management in all patients.
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