In this article, three cases of hereditary angioedema (HAE) type III
(estrogen-dependent or with normal C1 inhibitor) are reported. The HAE was initially
described in women of the same family in association with high-leveled estrogenic
conditions such as the use of oral contraceptives and pregnancy. There is no change
in the C1 inhibitor as happens in other types of hereditary angioedema, and mutations
are observed in the encoding gene of the XII factor of coagulation in several
patients. The current diagnosis is mainly clinical and treatment consists in the
suspension of the triggering factors and control of acute symptoms. A brief review of
physiopathology, clinical features, genetic alterations and treatment are also
presented.
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