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Table 2 Prophylactic treatment, angioedema attack frequency and necessity for acute attack treatment at baseline and follow-up

From: High occurrence of antihistamine resistance in patients with recurrent idiopathic angioedema

 

Baseline (n = 120)

Follow-up (n = 120)

Prophylactic treatment (%)

 Unknown

3 (3%)

0 (0%)

 None

62 (52%)

18 (15%)

 Antihistamine mono-therapy

45 (38%)

87 (73%)

  Onefold daily dose

27 (23%)

17 (14%)

  Twofold daily dose

11 (9%)

30 (25%)

  Threefold daily dose

2 (2%)

7 (6%)

  Fourfold daily dose

5 (4%)

21 (18%)

  > Fourfold daily dose

0 (0%)

12 (10%)

 Antihistamines + add-on

7 (6%)a

15 (13%)c

 Other treatment

3 (3%)b

0 (0%)

 

Baseline (n = 120)

All n = 120

No intervention n = 21d

Antihistamines only n = 99

+ Add-on n = 99

Attack frequency (%)

 Unknown

17 (14%)

15 (13%)

3 (14%)

11 (11%)

12 (12%)

 ≥ 1 per week

42 (35%)

15 (13%)

2 (10%)

17 (17%)

13 (13%)

 ≥ 1 per month

44 (37%)

24 (20%)

4 (19%)

23 (23%)

20 (20%)

 ≥ 1 per year

17 (14%)

30 (25%)

6 (29%)

23 (23%)

24 (24%)

 No attack

0 (0%)

36 (30%)

6 (29%)

25 (25%)

30 (30%)

 

Baseline (n = 120)

All = 120

No intervention n = 21

Antihistamines + add-on n = 99

Acute attack treatment (%)e

 Unknown

15 (13%)

18 (15%)

3 (14%)

15 (15%)

 None

11 (9%)

51 (43%)

6 (29%)

45 (45%)

 1. Antihistamines

25 (21%)

26 (22%)

8 (38%)

18 (18%)

 2. Antihistamines and/or corticosteroids

14 (12%)

17 (14%)

2 (10%)

16 (16%)

 3. Epipen

5 (4%)

3 (3%)

1 (5%)

2 (2%)

 4. Urgent care center

43 (36%)

5 (4%)

2 (10%)

3 (3%)

 5. Hospitalization or Intensive care

7 (6%)

0 (0%)

0 (0%)

0 (0%)

  1. aAntihistamines combined with leukotriene antagonist (n = 2), corticosteroids (n = 3), H2 antagonist (n = 1), tranexamic acid (n = 1)
  2. bMonotherapy with tranexamic acid (n = 2) or H2 antagonist (n = 1)
  3. cAntihistamines combined with omalizumab (n = 8), omalizumab and tranexamic acid (n = 1), leukotriene antagonist (n = 1), cyclosporine (n = 1), tranexamic acid (n = 2), sulfalazine (n = 1), H2 antagonist (n = 1)
  4. dNo prophylaxis (n = 18) no antihistamine dose increase (n = 3)
  5. eOverview of the most invasive reported symptomatic treatment used by patients during an acute attack including the reported need for medical care where invasiveness was reported from 1 to 5