Management of Hereditary Angioedema Type 1 and 2 for Canadian Allergy and Immunology Practitioners

Authors

  • Arun Dhir, MD Division of Allergy and Immunology, University of British Columbia
  • Amin Kanani, MDCM, FRCPC Division of Allergy and Immunology, University of British Columbia

DOI:

https://doi.org/10.58931/cait.2023.3142

Abstract

It is imperative for allergists and immunologists to accurately confirm the diagnosis of HAE and coordinate individualized, patient-centred treatment. The 2019 International/Canadian Hereditary Angioedema Guideline, provides an evidence-based approach to managing HAE patients. The objective of this article is to further assist healthcare providers in caring for patients with a confirmed diagnosis of HAE by outlining an approach to patient counselling and reviewing the principles of therapy. We propose 5 essential items to consider in the management of all HAE patients: 1) Patient education; 2) On-demand therapy; 3) Short-term prophylaxis (STP); 4) Long-term prophylaxis (LTP); and 5) Genetic testing. We will also discuss special considerations for pregnant patients.

Author Biographies

Arun Dhir, MD, Division of Allergy and Immunology, University of British Columbia

Dr. Arun Dhir is an Adult Allergy and Clinical Immunology fellow in Vancouver, British Columbia, where he is undergoing training. He received his medical degree and completed his core Internal Medicine residency at the University of British Columbia. Dr. Dhir has previously published and presented his work on inborn errors of immunity and drug allergy, and he is currently working on ongoing projects related to hereditary angioedema and perioperative anaphylaxis. Dr. Dhir aspires to become a clinician-scientist in the future.

Amin Kanani, MDCM, FRCPC, Division of Allergy and Immunology, University of British Columbia

Dr. Amin Kanani is a Clinical Associate Professor in Medicine at the University of British Columbia and the Head of the Division of Allergy and Clinical Immunology at St. Paul’s Hospital and University of British Columbia. Dr. Kanani completed his medical degree at McGill University. He then went on to complete Internal Medicine training at UBC and Clinical Immunology and Allergy Fellowship Training at the University of Toronto. He has held several leadership positions including President of the BC Society of Allergy and Immunology, Board of Directors forthe Canadian Hereditary Angioedema Society, and Interim Program Director for the UBC Allergy and Clinical Immunology training program. His clinical and research interests include chronic urticaria, hereditary angioedema and primary immunodeficiency.

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Management of Hereditary Angioedema Type 1 and 2 for Canadian Allergy and Immunology Practitioners

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Published

2023-05-01

How to Cite

1.
Dhir A, Kanani A. Management of Hereditary Angioedema Type 1 and 2 for Canadian Allergy and Immunology Practitioners. Can Allergy Immunol Today [Internet]. 2023 May 1 [cited 2024 Sep. 8];3(1):19–23. Available from: https://canadianallergyandimmunologytoday.com/article/view/3-1-dhir_et_al

Issue

Volume 3, Issue 1, May 2023

Section

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