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Idiopathic Non-histaminergic Angioedema: Successful Treatment with Omalizumab in Five Patients

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Abstract

Idiopathic non-histaminergic acquired angioedema (InH-AAE) is a rare disease characterized by AE resistant to antihistamines and a chronic course. We report five new cases of InH-AAE (two women and three men) with a rapid and dramatic response to the anti-immunoglobulin-E antibody omalizumab. In our literature review, we found 13 other relevant cases with a good response to this treatment. Overall, in 6 out of 18 patients, the doses of omalizumab required to prevent recurrences of attacks were higher than the licensed dose for chronic urticaria. No significant adverse effects have been reported.

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Correspondence to Charles Faisant.

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Conflict of Interest

Dr Aurélie Du Thanh, Dr Catherine Mansard, Dr Isabelle Boccon-Gibod, and Pr Laurence Bouillet have received financial support from Novartis, France.

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Faisant, C., Du Thanh, A., Mansard, C. et al. Idiopathic Non-histaminergic Angioedema: Successful Treatment with Omalizumab in Five Patients. J Clin Immunol 37, 80–84 (2017). https://doi.org/10.1007/s10875-016-0345-7

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  • DOI: https://doi.org/10.1007/s10875-016-0345-7

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