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Hereditary Angioedema

Diagnosis, symptoms, and treatment methods.

General Information About Hereditary Angioedema

Hereditary Angioedema is a rare disease characterized by suddenly appearing, asymmetrical, and painful swelling (edema) in the face, airways, arms, and intestines due to a genetic deficiency or dysfunction of the C1 inhibitor protein in the immune system. It develops without hives (an allergic reaction). In our Immunology clinic, it is treated with special missing protein supplements that rapidly halt the attacks.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Hereditary Angioedema?

It is the formation of sudden, recurrent, and severe edema in subcutaneous and mucosal tissues as a result of a deficiency in a genetic protein that controls fluid leakage and tissue swelling in the body.

How Does It Differ from an Allergy?

Allergic edemas are itchy and accompanied by red hives (urticaria) on the skin. In hereditary angioedema, however, the skin is normal in color, it never itches (it is only taut), and it does not respond to classic allergy medications (antihistamines, cortisone, adrenaline).

What Triggers the Attacks?

Mild physical traumas (such as a tooth extraction), intense emotional stress, infections, and the use of certain blood pressure medications belonging to the ACE inhibitor group are the most important factors that trigger attacks.

Why Does It Pose a Life Threat?

When the swelling is in the arms or legs, it only causes disfigurement and tightness. However, if the edema develops in the throat (larynx), it can mechanically block the airway within seconds and cause suffocation.

How Do Intestinal Attacks Occur?

When the swelling occurs in the intestinal wall, it leads to very severe cramp-like abdominal pain, nausea, and vomiting that mimics a ruptured appendix. These patients may mistakenly undergo unnecessary abdominal surgeries.

How is it Treated?

Because allergy medications do not work during an acute attack, the patient is given intravenous 'C1 Inhibitor Concentrate' or bradykinin receptor antagonists (Icatibant) directly, ensuring the swelling subsides rapidly. Preventative medications are prescribed for those who experience frequent attacks.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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