Chinese Medical Sciences Journal ›› 2012, Vol. 27 ›› Issue (2): 92-95.

• Original Article • 上一篇    下一篇

Fresh Frozen Plasma for the Treatment of Hereditary Angioedema Acute Attacks

Rui Tang1, Shi Chen2, and Hong-yu Zhang1*   

  1. 1Department of Allergy, 2Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • 收稿日期:2012-07-05 修回日期:2012-07-05 出版日期:2012-07-05 发布日期:2012-07-05
  • 作者简介:*Corresponding author Tel: 86-10-65296340, Fax: 86-10-65296341, E-mail: zhy1941@yahoo.com.cn

Fresh Frozen Plasma for the Treatment of Hereditary Angioedema Acute Attacks

Rui Tang1, Shi Chen2, and Hong-yu Zhang1*   

  1. 1Department of Allergy, 2Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2012-07-05 Revised:2012-07-05 Published:2012-07-05 Online:2012-07-05

摘要: Objective To determine the safety and efficacy of fresh frozen plasma (FFP) infusion for the treatment of hereditary angioedema (HAE).
Methods The medical records of patients with HAE admitted to Peking Union Medical College Hospital who had received FFP infusion during 2004 and 2010 were reviewed and PubMed database from 1966 to the present were searched using the following hereditary angioedema and fresh frozen plasma. The patient’s age, sex, body location of HAE attacks, the dose of FFP infusion, time of beginning to improvement, time to complete remission, complication, C1 inhibitor activity, and outcome were analyzed.
Results A total of 13 enrolled patients (7 male and 6 female) received 16 times of FFP infusion, including 2 patients undergoing FFP infusion in Peking Union Medical College Hospital and 11 patients reported in the literature. The mean dosage of FFP infusion was 586±337 mL. Two cases suffered from worsening abdominal pain and one case experienced skin rash. Only 1 patient had no improvement in symptom owing to transfusion related reaction. There was a definite improvement in symptom 49±19 minutes after beginning FFP infusion. The remission time decreased from 61.7±27.0 hours to 3.3 (2.0, 12.0) hours after FFP infusion. FFP infusion was effective for both type Ⅰand type Ⅱ HAE.
Conclusion FFP seems to be safe and effective for acute attacks of HAE.

关键词: hereditary angioedema, acute attacks, fresh frozen plasma, treatment

Abstract: Objective To determine the safety and efficacy of fresh frozen plasma (FFP) infusion for the treatment of hereditary angioedema (HAE).
Methods The medical records of patients with HAE admitted to Peking Union Medical College Hospital who had received FFP infusion during 2004 and 2010 were reviewed and PubMed database from 1966 to the present were searched using the following hereditary angioedema and fresh frozen plasma. The patient’s age, sex, body location of HAE attacks, the dose of FFP infusion, time of beginning to improvement, time to complete remission, complication, C1 inhibitor activity, and outcome were analyzed.
Results A total of 13 enrolled patients (7 male and 6 female) received 16 times of FFP infusion, including 2 patients undergoing FFP infusion in Peking Union Medical College Hospital and 11 patients reported in the literature. The mean dosage of FFP infusion was 586±337 mL. Two cases suffered from worsening abdominal pain and one case experienced skin rash. Only 1 patient had no improvement in symptom owing to transfusion related reaction. There was a definite improvement in symptom 49±19 minutes after beginning FFP infusion. The remission time decreased from 61.7±27.0 hours to 3.3 (2.0, 12.0) hours after FFP infusion. FFP infusion was effective for both type Ⅰand type Ⅱ HAE.
Conclusion FFP seems to be safe and effective for acute attacks of HAE.

Key words: hereditary angioedema, acute attacks, fresh frozen plasma, treatment

Copyright © 2018 Chinese Academy of Medical Sciences. All right reserved.
 
www.cmsj.cams.cn
京公安备110402430088 京ICP备06002729号-1  Powered by Magtech.

Supervised by National Health & Family Plan Commission of PRC

9 Dongdan Santiao, Dongcheng district, Beijing, 100730 China

Tel: 86-10-65105897  Fax:86-10-65133074 

E-mail: cmsj@cams.cn  www.cmsj.cams.cn

Copyright © 2018 Chinese Academy of Medical Sciences

All right reserved.

京公安备110402430088  京ICP备06002729号-1