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Chong-Neto HJ, Aroni BP, Mansour E, Toledo E, Serpa FS, Arruda LK, Giavina-Bianchi P, Valle SOR, de Moraes CGDFB, Kruk T, Chong-Silva DC, Solé D, Silva LR, Grumach AS, Rosário Filho NA, Campos RDA. Are pediatricians familiar with hereditary angioedema? World Allergy Organ J 2023; 16:100783. [PMID: 37332526 PMCID: PMC10276270 DOI: 10.1016/j.waojou.2023.100783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 04/20/2023] [Accepted: 05/12/2023] [Indexed: 06/20/2023] Open
Abstract
Background Hereditary angioedema (HAE) is an autosomal dominant disease characterized by recurrent episodes of subcutaneous or mucosal edema caused by excess bradykinin. The aim of the present study was to assess the knowledge of pediatricians about hereditary angioedema. Methods An online survey with 12 HAE-related and 14 demographics-related questions was e-mailed to all pediatricians who were members of the Brazilian Society of Pediatrics (n = 17 145) once a week during the months of June and July 2021. The electronic questionnaire assessed clinical manifestations, diagnosis, and treatment of hereditary angioedema in children and adolescents. Results Four hundred and fifty-five pediatricians responded to the questionnaire (2.6%), of whom 55 (12.1%) were board certified in Allergy and Immunology (A/I), while 400 (87.9%) were not (N-A/I). Three hundred and sixty-eight (80.9%) were female, 289 (55.7%) were under 50 years of age, 286 (62.9%) graduated from Medical School more than 10 years previously, 83 (18.2%) held an MSc/PhD degree, and 253 (55.6%) were living in the Southeast Region of Brazil. The median number of correct answers to the questions related to HAE among A/I was 7 out of 12 (58.3%), with median ranging from 4.5 to 8 correct answers, while for N-A/I it was 3 (25%), with median ranging from 2.5 to 4 correct answers (p < 0.001). Conclusion Knowledge about HAE among Brazilian pediatricians, whether board certified in Allergy and Immunology or not, was unsatisfactory. HAE is a rare disease, largely unknown among physicians; therefore, increasing awareness may lead to improvement in diagnosis and treatment.
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Affiliation(s)
- Herberto José Chong-Neto
- Division of Allergy and Immunology, Complexo Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
| | - Bárbara Padilha Aroni
- Division of Allergy and Immunology, Complexo Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
| | - Eli Mansour
- Clinical Immunology and Allergy, Department of Clinical Medicine, University of Campinas, Campinas, Brazil
| | - Eliana Toledo
- Serviço de Alergia e Imunologia Clínica do Departamento de Pediatria e Cirurgia Pediátrica da Faculdade de Medicina de São José do Rio Preto. São José do Rio Preto, Brazil
| | - Faradiba Sarquis Serpa
- Serviço de Asma, Alergia e Imunologia Clínica, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória, Brazil
| | - Luisa Karla Arruda
- Department of Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | - Pedro Giavina-Bianchi
- Clinical Immunology and Allergy Division, Universidade de São Paulo, São Paulo, Brazil
| | - Solange Oliveira Rodrigues Valle
- Departamento de Clínica Médica, Serviço de Imunologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Tatielly Kruk
- Division of Allergy and Immunology, Complexo Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
| | - Débora Carla Chong-Silva
- Division of Allergy and Immunology, Complexo Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
| | - Dirceu Solé
- Division of Allergy, Clinical Immunology and Rheumathology, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil
| | | | - Anete S. Grumach
- Clinical Immunology, Centro Universitario FMABC, Santo André, Brazil
| | - Nelson Augusto Rosário Filho
- Division of Allergy and Immunology, Complexo Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
| | - Régis de Albuquerque Campos
- Faculdade de Medicina da Universidade Federal da Bahia, Departamento de Medicina Interna e Apoio Diagnóstico, Programa de Pós-Graduação em Ciências da Saúde, Salvador, Brazil
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Panneer Selvam N, Sadaksharam J, Chehal H. Chronic macrocheilia in an adolescent-diagnostic work-up and management. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 131:e170-e174. [PMID: 32978078 DOI: 10.1016/j.oooo.2020.08.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 08/17/2020] [Accepted: 08/24/2020] [Indexed: 11/17/2022]
Affiliation(s)
- Niranzena Panneer Selvam
- Assistant Professor, Diagnostic Sciences, Creighton University School of Dentistry, Omaha, NE, USA.
| | - Jayachandran Sadaksharam
- Professor & Head, Oral Medicine and Radiology, Tamil Nadu Government Dental College & Hospital, Chennai, Tamil Nadu, India
| | - Hardeep Chehal
- Professor, Diagnostic Sciences, Creighton University School of Dentistry, Omaha, NE, USA
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