Header: HAE Perspective
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Ask the Expert

HAE expert is here to answer your questions about the disease.

Please note that not all questions submitted in the Ask the Expert feature of the HAE Hope website will be answered. The information contained on this website is not intended as a substitute for professional medical advice, diagnosis, or treatment. If you have any questions regarding your medical condition, seek the advice of your physician or other qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of information found on this website.

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Attacks

Question: My dentist says I need a root canal - should I put it off? I'm afraid it will trigger an HAE attack.

A lot of HAE patients put off surgery or dental treatments because they're afraid it may trigger an attack. Talk with your doctor - there are treatments available that you can take short-term, before a procedure, to help prevent an attack.

 

Diagnosing HAE

Question: HAE runs in my family, and I've had swelling in my hands recently. Is there a way to know for sure if I have the disease?

Any doctor can perform a test to check your C4 level. C4 is a protein that is part of the body's complement system, a group of proteins that move through your bloodstream. They work with your immune system and play a role in the development of inflammation. If your C4 level is normal during an attack, that basically rules out HAE. If your C4 level is abnormal, you should see an HAE specialist.

 

Parenting

Question: I have HAE and recently got married. My husband and I would like to have children; will our children have the disease?

Not necessarily. If one parent has HAE, there is a 50% likelihood that his or her child will have the disease, too. Most diseases are recessive - that means that you need 2 "bad" copies of the gene for the disease, one from each parent, for the child to develop that disease. But HAE is what's known as an autosomal dominant disease —  you only need one "good" and one "bad" gene for that child to have the disease.

 

Andrew J. MacGinnitie, MD, PhD

Bio

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