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  • Title: A 'de novo' arisen case of angioedema C1-inhibitor deficiency dependent: possible mutagenic effect of azathioprine?
    Author: Guastafierro S, D'Apuzzo A, Verrazzo G, Lucivero G, Coppola L.
    Journal: Biomed Pharmacother; 1999 Jun; 53(5-6):284-5. PubMed ID: 10424251.
    Abstract:
    It is reported that a C1-inhibitor (CI-INH) deficiency dependent angiodema case arose 'de novo' in a child without a family history of this disease. His mother was undergoing immunosuppressive therapy (50 mg of azathioprine plus 8 mg of methyl-prednisolone daily) during pregnancy, uninterrupted for seven years because of a kidney transplant. All the other known causes of acquired C1-INH deficiency were excluded. An involvement of an azathioprine-induced C1-INH gene mutation is hypothised.
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