Case Report

Consequences of Misdiagnosed and Mismanaged Hereditary Angioedema Laryngeal Attacks: An Overview of Cases from the Romanian Registry

Table 1

History and clinical data of 4 patients with hereditary angioedema (HAE) who died from laryngeal edema and asphyxiation.

PtGenderAge (years)HAE attacksFamily historyTreatment received
At onset of symptomsAt HAE diagnosisAt deathFrequency of previous abdominal and/or peripheral attacksNo. of previous laryngeal attacksUnnecessary abdominal surgeries before diagnosis?No. of known relatives with HAERelatives experiencing laryngeal edema?No. of deaths in family resulting from suspected laryngeal edema?Interval between onset of laryngeal edema and asphyxiationHomeEmergency services / HospitalEmergency procedures administered

1Female205052Weekly>10036Yes-6 h---

2Male3711Monthly314Yes23 h-Corticosteroids and epinephrine-

3Male85759Yearly10-3Yes-20 min---

4Male22Not previously diagnosed42Twice/ month0-5Yes511 hCorticosteroidsEpinephrineAttempted (self-) tracheotomy