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Interdisciplinary CompetenceMolecular Diagnostics
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IllnessAngioedema, hereditary, differential diagnosis

Summary

Short information

Comprehensive differential diagnostic panel for hereditary angioedema comprising 5 guideline-curated core genes and altogether 14 curated genes according to the clinical signs

ID
AP9080
Number of genes
14 Accredited laboratory test
Examined sequence length
9,4 kb (Core-/Core-canditate-Genes)
36,3 kb (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
Diagnostic indications

NGS +

[Sanger]

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GHeredity
ANGPT11497AD
F121848AD
PLG2433AR
SERPING11503AD, AR
XPNPEP22025Sus
CPN11377AR
HS3ST61031AD
KNG11935AD
MYOF6186AD
NLRC43075AD
NLRP123186AD
NLRP33111AD
PLCG23798AD, SMu
SPINK53285AR

Informations about the disease

Clinical Comment

Hereditary angioedema is characterized by recurrent episodes of severe swelling of the face, limbs, intestinal tract and airways. Mild trauma, stress and unknown factors can trigger attacks. Swelling in the intestinal tract causes severe pain, nausea as well as vomiting, and swelling in the respiratory tract can lead to life-threatening obstruction. Symptoms typically begin in childhood and worsen during puberty. The frequency and duration of attacks varies widely, even within families. Mutations in the SERPING1 gene cause hereditary angioedema types I and II; mutations in the F12 gene are associated with some cases of hereditary angioedema type III. Other genetic causes have not yet been systematically identified. Classic hereditary angioedema is inherited in an autosomal dominant or recessive manner, multifactorial forms appear to be increasing. Diagnostic yield data for this group of diseases are not available. If no pathogenic variants are identified in candidate genes, the clinical diagnosis is by no means excluded.

References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063419/

 

Synonyms
  • Alias: Quincke edema: Quincke-Ödem
  • Allelic: Complement component 4, partial deficiency of (SERPING1)
  • Allelic: Deafness, AD 34, with/-out inflammation (NLRP3)
  • Allelic: Dysplasminogenemia (PLG)
  • Allelic: Factor XII deficiency (F12)
  • Allelic: High molecular weight kininogen deficiency (KNG1)
  • Allelic: Keratoendothelitis fugax hereditaria (NLRP3)
  • Allelic: Plasminogen deficiency, type I (PLG)
  • Angioedema induced by ACE inhibitors, susceptibility to (XPNPEP2)
  • Angioedema, hereditary, 7 (MYOF)
  • Angioedema, hereditary, 8 (HS3ST6)
  • Angioedema, hereditary, type III (F12)
  • Angioedema, hereditary, types I + II (SERPING1)
  • Autoinflammation, antibody deficiency + immune dysregulation syndrome (PLCG2)
  • CINCA [Chronic Infantile Neurologic Cutaneous + Articular] syndrome (NLRP3)
  • Carboxypeptidase N deficiency (CPN1)
  • Familial cold autoinflammatory syndrome 2 (NLRP12)
  • Familial cold autoinflammatory syndrome 3 (PLCG2)
  • Familial cold autoinflammatory syndrome 4 (NLRC4)
  • Familial cold inflammatory syndrome 1 (NLRP3)
  • Hereditary angioedema (ANGPT1)
  • Keratoendothelitis fugax hereditaria; Deafness, AD 34, with/-out inflammation (NLRP3)
  • Kininogen deficiency (KNG1)
  • Muckle-Wells syndrome [urticaria-deafness-amyloidosis] (NLRP3)
  • Netherton syndrome (SPINK5)
  • Plasminogen deficiency, type I; Dysplasminogenemia (PLG)
  • Thrombophilia due to protein C deficiency, AD, AR (PROC)
Heredity, heredity patterns etc.
  • AD
  • AR
  • SMu
  • Sus
OMIM-Ps
  • Multiple OMIM-Ps
ICD10 Code
Q82.09

Bioinformatics and clinical interpretation

No text defined