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In the past couple of years, progress has been made in improving the management of hereditary angioedema due to C1 inhibitor deficiency (C1-INH-HAE). Nevertheless, misdiagnosis and delayed diagnosis of this rare genetic disease, even for decades after the manifestation of first symptoms, is not uncommon and the awareness of C1-INH-HAE is still low, not only in the general public but also among healthcare professionals1,2. Our published manuscript “Erythema marginatum as an early symptom of hereditary angioedema: case report of 2 newborns”3 reported on very early manifestation of erythema marginatum in a 3-day old girl with C1-INH-HAE and in another newborn who had erythema marginatum at birth. The manuscript was published with the aim to raise awareness of this disease and to highlight the potential role of prodromal symptoms, not only as a warning of an impending attack of C1-INH-HAE, but also as indicators for a correct and timely diagnosis in patients with yet undiagnosed C1-INH-HAE.

Commentary: Erythema marginatum as an early symptom of hereditary angioedema: case report of 2 newborns