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Should patients with hereditary angioedema expect more severe course of COVID-19 infection?

Publication at Second Faculty of Medicine |
2021

Abstract

Some theories suggest, that bradykinin may play a role in pathogenesis of tissue damage in COVID-19 infection. It is also a main mediator responsible for angioedema attacks in patients with hereditary angioedema.

Therefore we may assume COVID-19 infection can be more severe for these patients. Unfortunately we have only limited data about course of COVID-19 disease in hereditarian angioedema patients so far.

However, angioedema without wheals has been described in patients with COVID-19 infection and some trials showed improvement of COVID-19 pneumonia after administration of drugs, commonly used for angioedema treatment. These findings may support bradykinin involvement in COVID-19 tissue damage.