Histaminergic Angioedema

Immunol Allergy Clin North Am. 2017 Aug;37(3):467-481. doi: 10.1016/j.iac.2017.03.001. Epub 2017 May 13.

Abstract

Angioedema is frequently categorized into histamine- or bradykinin-mediated disease. It is critical to determine the underlying mediator of symptoms as it directs treatment. Histaminergic angioedema is the most frequent cause of angioedema. It is classified as either acute (lasting <6 weeks) or chronic (symptoms >6 weeks). It is further classified into angioedema presenting with or without urticaria. Some patients with acute angioedema may have disease that becomes chronic. Mast cells and basophils are central to the underlying pathophysiology of histamine-mediated angioedema. The underlying treatments of histamine-mediated angioedema are antihistamines, corticosteroids, and epinephrine.

Keywords: Angioedema; Histamine; Histaminergic; Inducible urticaria; Spontaneous urticaria; Urticaria.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Angioedema / diagnosis
  • Angioedema / etiology*
  • Angioedema / metabolism*
  • Angioedema / therapy
  • Chronic Disease
  • Diagnosis, Differential
  • Disease Management
  • Histamine / metabolism*
  • Humans
  • Urticaria / diagnosis
  • Urticaria / etiology
  • Urticaria / metabolism
  • Urticaria / therapy

Substances

  • Histamine