دورية أكاديمية

Neurologic and Psychiatric Manifestations of Bradykinin-Mediated Angioedema: Old and New Challenges

التفاصيل البيبلوغرافية
العنوان: Neurologic and Psychiatric Manifestations of Bradykinin-Mediated Angioedema: Old and New Challenges
المؤلفون: Ilaria Mormile, Francesco Palestra, Angelica Petraroli, Stefania Loffredo, Francesca Wanda Rossi, Giuseppe Spadaro, Amato de Paulis, Maria Bova
المصدر: International Journal of Molecular Sciences; Volume 24; Issue 15; Pages: 12184
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2023
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: alteplase, autonomic disfunction, bradykinin, central nervous system, hereditary angioedema, psychology, psychiatry
جغرافية الموضوع: agris
الوصف: Neurologic manifestations have been occasionally described in patients with bradykinin-mediated angioedema. The existing literature is currently limited to case series and case reports mainly described in the hereditary forms (HAE) concerning central nervous system (CNS) involvement. On the contrary, very little is known about peripheral and autonomic nervous system manifestations. CNS involvement in HAE may present with symptoms including severe headaches, visual disturbance, seizures, and various focal and generalized deficits. In addition, a stroke-like clinical picture may present in HAE patients. In turn, some drugs used in patients with cardiovascular and neurologic disorders, such as recombinant tissue plasminogen activator (r-tPA) and angiotensin-converting enzyme inhibitors (ACEI), may produce medication-induced angioedema, resulting in a diagnostic challenge. Finally, most patients with HAE have higher levels of psychological distress, anxiety, and depression. With this review, we aimed to provide an organized and detailed analysis of the existing literature on neurologic and psychiatric manifestations of HAE to shed light on these potentially invalidating symptoms and lay the foundation for further personalized diagnostic pathways for patients affected by this protean disease.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Molecular Immunology; https://dx.doi.org/10.3390/ijms241512184Test
DOI: 10.3390/ijms241512184
الإتاحة: https://doi.org/10.3390/ijms241512184Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.32850F2B
قاعدة البيانات: BASE