Impact of disease on daily activities, emotions and quality of life of patients with hereditary angioedema

• Published in: La revue de medecine interne 2021-09, Vol.42 (9), p.608-615
• Main Authors: Nicolas, A, Launay, D, Duprez, C, Citerne, I, Morell-Dubois, S, Sobanski, V, Hachulla, É, Staumont-Sallé, D, Farhat, M-M, Sanges, S
• Format: Article
• Language: eng ; fre
• ISSN: 1768-3122
• DOI: 10.1016/j.revmed.2021.05.013

INTRODUCTIONHereditary angioedema (HAE) is characterized by recurrent attacks of swelling of various locations and severity. An impaired quality of life of patients with HAE has been reported by several studies. We aimed at examining the overall impact of the disease in patients followed for type I HAE, particularly its impact on daily life activities, emotions and quality of life. METHODSA questionnaire was distributed to patients consulting for type I HAE, collecting demographics, disease characteristics, impact on professional life, Hospital Anxiety and Depression score (HAD), SF-36 score and the McMaster Toronto Arthritis Patient Preference Disability Questionnaire (MACTAR). RESULTSThe 33 patients included reported an average of 5.17 attacks over the last year. Stress was the main trigger A long-term treatment was reported by 58% of patients, 72% received specific treatment in the event of a serious attack. Sick days were reported by 33% of patients during their studies, and by 34% during work. One patient suffered from depressive symptoms and ten from anxious symptoms, according to the HAD score. The areas most impacted on the SF-36 score were general health and vitality. The mean score for MACTAR was low. CONCLUSIONHAE still has a significant impact on the daily and emotional lives of patients, despite the availability of prophylactic and crisis treatments.