Suffocation due to Acute Airway Edema in a Patient with Hereditary Angioedema Highlighted the Need for Urgent Improvements in Treatment Availability in Japan

Autor: Hisatsugu Takahara, Satoshi Mano, Daisuke Honda, Yuki Shimizu, Yusuke Suzuki, Hisaki Rinno, Hiroaki Io, Hitoshi Suzuki, Teruo Hidaka, Isao Ohsawa, Masayuki Maiguma, Yasuhiko Tomino
Rok vydání: 2018
Předmět:
Zdroj: Internal Medicine
ISSN: 1349-7235
0918-2918
Popis: A 42-year-old Japanese man with hereditary angioedema suffered accidental trauma to his jaw in Shizuoka Prefecture, Japan, which gradually caused facial edema. Since plasma-derived human C1 inhibitor (pdh C1-INH) was unavailable, he had to be transferred to Juntendo University Hospital in Tokyo. Due to his severe edema, he suffered asphyxiation leading to cardiopulmonary arrest upon arrival. The patient was resuscitated and promptly treated with pdh C1-INH. In Japan, the self-administration of pdh C1-INH is not allowed, and every prefecture does not always possess stocks of pdh C1-INH. This case emphasizes the need for urgent improvements in treatment availability in Japan.
Databáze: OpenAIRE