%0 Journal Article %T A C1-inhibitor rare mutation: Early diagnosis of hereditary angioedema in a paediatric patient %A Maria Cristina Maggio %A Piero Sammarco %A Carmelo Fabiano %A Giovanni Corsello %J Open Journal of Pediatrics %P 42-44 %@ 2160-8776 %D 2013 %I Scientific Research Publishing %R 10.4236/ojped.2013.31008 %X

Hereditary angioedema secondary to C1-inhibitor deficiency is a rare autosomal dominant disorder characterized by a deficiency of C1 esterase inhibitor.An eight-year-old girl showed periorbital painless swelling, diagnosed as ethmoiditis. A craniofacial scan did not evidence a paranasal sinus involvement, C1INH levels were undetectable, with low C4 levels: 7.6 mg/dl and C1INH: <8.46 mg/dl. The genetic study identified a rare mutation of the C1INH gene. This clinical report is of relieve because paediatric cases described in literature are rare, did not presented a positive family history, and received a diagnosis after many attacks. Furthermore our girl received a prompt diagnosis of HAE at the first attack of angioedema.

%K Hereditary Angioedema %K C1-Inhibitor Deficiency %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=28806