DOI: 10.12890/2015_000253
Fresh Frozen Plasma in Hereditary Angioedema Crisis: To Give or Not To Give?
Authors
jamal.belkhouribchia@vub.ac.be
Keywords
hereditary angioedema, fresh frozen plasma, C1-inhibitor, facial swellingAbstract
Objectives: Fresh frozen plasma (FFP) has been used in angioedema crises, however there is a risk of aggravating the symptoms as well as transmitting infections. In this report, the authors emphasize the dangers of this therapy.
Materials and methods: A 25-year-old woman with hereditary angioedema (HAE) was treated with FFP after which her symptoms escalated.
Results: Administration of purified C1-inhibitor (C1-INH) resulted in relief of her symptoms.
Conclusions: FFP is to be avoided in a HAE crisis. Newer therapies for angioedema are preferred.
References
- Zuraw BL. Hereditary angioedema. NEJM 2008 Sep 4;359:1027-36.
- Tang R, Chen S, Zhang HY. Fresh frozen plasma for the treatment of hereditary angioedema acute attacks. Chin Med Sci J 2012;>27:92-5.
- Zanichelli A, Mansi M, Periti G, Cicardi M. Therapeutic management of hereditary angioedema due to C1 inhibitor deficiency. Expert Rev Clin Immunol 2013;9:477-88.
- Kalaria S, Craig T. Assessment of hereditary angioedema treatment risks. Allergy Asthma Proc 2013;34:519-22.
- Pandey S, Vyas GN. Adverse effects of plasma transfusion. Transfusion 2012;52 Suppl 1:65S-79S.