Angioedema Referral Access Criteria

Referrers should use this page when referring patients to public adult immunology outpatient services for angioedema.

Emergency referral
If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region.
Current symptoms of anaphylaxis Airway compromising angioedema

Immediate referral
Immediately contact on-call registrar or service to arrange immediate immunology assessment (seen within 7 days):
Nil To contact the relevant service, please see Clinician Assist WA: Immunology assessment (external site).

Immediate referral

Immediately contact on-call registrar or service to arrange immediate immunology assessment (seen within 7 days):

To contact the relevant service, please see Clinician Assist WA: Immunology assessment (external site).

Clinical indications for outpatient referral
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
Severe and/or recurrent angioedema

Mandatory information
Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test in regional or remote areas or due to financial reason). This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.
History	Relevant history, onset, duration, severity, and possible triggers of symptoms Site of swelling Familial history Current medication (i.e., current and/or previous ACE-inhibitor usage)
Examination	Nil
Investigations	Nil

Indicative clinical urgency category
Category 1 Appointment within 30 days	Recently resolved severe angioedema (e.g. recent admission to hospital)
Category 2 Appointment within 90 days	Recurrent angioedema (i.e. mild/moderate - responding and/or not responding to treatment)
Category 3 Appointment within 365 days	No defined category 3 criteria

Indicative clinical urgency category

Category 1

Appointment within 30 days

Category 2

Appointment within 90 days

Recurrent angioedema (i.e. mild/moderate - responding and/or not responding to treatment)

Category 3

Appointment within 365 days

Exclusions
Angioedema with recurrent abdominal pain Refer to gastroenterology See Clinician Assist WA: Gastroenterology Requests (external site) Eosinophilic oesophagitis Refer to gastroenterology See Clinician Assist WA: Gastroenterology Requests (external site)

Useful information
See Clinician Assist WA: Angioedema (external site) See Australasian Society of Clinical Immunology and Allergy (ASCIA) (external site)

Useful information

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