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Review Article| Volume 26, ISSUE 4, P653-668, November 2006

Hereditary Angioedema: The Clinical Syndrome and its Management in the United States

      Hereditary angioedema (HAE) is an episodic swelling disease with autosomal Mendelian dominant inheritance. One of the oldest descriptions of the disease is from the 1840s by Graves, who clearly described patients with episodic angioedema [
      • Graves R.
      Clinical lectures on the practice of medicine, 1843.
      ]. In 1882, Quincke described a constellation of angioedema symptoms including peripheral swelling and self-limited attacks of abdominal pain; the disease is known in Europe as Quincke's disease [
      • Quincke H.
      Concerning the acute localized oedema of the skin. Monatsh. Prakt.
      ]. His original description includes concern about compromise of the airway. Because the attacks he described usually lasted a matter of hours rather than days, the length of time we commonly associate with HAE today, we cannot be completely certain that the attacks described 124 years ago were hereditary angioedema. A few years later in 1888, Osler described the disease observed in each of five generations of a family and identified the autosomal dominant inheritance that we now associate with the disease [
      • Osler W.
      Hereditary angio-neurotic oedema.
      ].
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