Acquired Angioedema in Selected Neoplastic Diseases

Medicina (Kaunas). 2023 Mar 24;59(4):644. doi: 10.3390/medicina59040644.

Abstract

Background and Objectives. Acquired angioedema is a relatively common revelation accompanying some diseases such as autoimmune or cancer. The study aimed to assess the incidence of one subtype of angioedema-C1-INH-AAE (acquired angioedema with C1 inhibitor deficiency). Material and methods. The study was retrospective and based on 1 312 patients with a final diagnosis of breast cancer, colorectal cancer, or lung cancer: 723 women and 589 men with a mean age of 58.2 ± 13.5 years. The cancer diagnosis according to the ICD (International Classification of Diseases)-10 code, medical history including TNM (Tumour, Node, Metastasis) staging, histopathology, and assessment of the occurrence of C1-INH-AAE angioedema were analysed. Results. C1-INH-AAE occurred more often in patients with cancer than in the control group, as follows: 327 (29%) vs. 53 (6%) for p < 0.05. C1-INH-AAEs were observed most often in the group of patients diagnosed with breast cancer compared to colorectal and lung groups: 197 (37%) vs. 108 (26%) vs. 22 (16%) (p < 0.05). A higher incidence of C1-INH-AAE was observed in the early stages of breast cancer. However, there was no relationship between the occurrence of C1-INH-AAE and the BRCA1 (Breast Cancer gene 1)/BRCA2 (Breast Cancer gene 2) mutation or histopathological types of breast cancer. Conclusion. Angioedema type C1-INH-AAE occurs more often in patients with selected neoplastic diseases, especially in the early stages of breast cancer.

Keywords: IgE; allergy; angioedema; neoplasma.

MeSH terms

  • Adult
  • Aged
  • Angioedema* / diagnosis
  • Angioedema* / epidemiology
  • Angioedema* / etiology
  • Angioedemas, Hereditary* / diagnosis
  • Angioedemas, Hereditary* / epidemiology
  • Angioedemas, Hereditary* / etiology
  • Breast Neoplasms* / complications
  • Female
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies

Supplementary concepts

  • Acquired angioedema

Grants and funding

This research received no external funding.