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. 2024 Aug 10;19:291. doi: 10.1186/s13023-024-03302-x

Table 3.

Extended summaries of personas (insert the table at the end of the results)

Persona Demographics Brief description Needs

LUCA

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Age: 40–49 years

Work: full-time

Family status: single, no children

Quote: It is difficult for people to understand our illness because they see us [without external symptoms], "this one is dreaming" [they think], and maybe internally we are dying

First to be diagnosed in the family due to strong attacks

Started the diagnosis chain in his family

Severe attacks

Prophylactic treatment

Psychological support: someone to talk to during difficult moments

Increasing awareness of HAE among local healthcare professionals as he is tired of trying to explain HAE. He had struggles when renewing his driving licence due to issues concerning disability benefits

Law 104. Luca has 70% of disability benefits. Living with HAE could be debilitating both physically and mentally. Therefore, more than economic support, he would like to have three-day permits under Law 104

ESTHER

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Age: 30–39 years

Work: part-time

Family status: married, with a small child not diagnosed yet

Quote: One of the 800,000 doctors I went to…because I went to all kinds of doctors, I went at one point to the angiologist, to the rheumatologist, to any [specialist], until the last one suggested that I get an immunological examination prescribed

Experienced years of diagnosis delay that left her traumatised

Not aware of family members affected

Mild to moderate attacks

Attack treatment only

Psychological support: years of diagnosis delay traumatised her

Increasing awareness of HAE among regional and local healthcare providers (ER, GP, paediatricians, pharmacists, gynaecologists, gastroenterologists, etc.)

More information for women about inherited disorders like HAE and pregnancy, and motherhood

ANTONIO

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Age: 50–59 years

Work: full-time

Family status: married, with 2 adult children

Quote: I always lived my life, since it's a psychological thing, even if I swelled up I did sports so my body was stressed no matter what. However, occasionally I am terrified of having a throat attack even though it hasn't yet happened

Got diagnosed accidentally as HAE didn't limit his life

Family members and children affected by HAE

Mild and less frequent attacks

Attack treatment only

Email newsletter: information about the latest treatment options, research advances and events, as well as opportunities to take part in studies could be shared with people with HAE
4. MIRTAInline graphic

Age: 80–89 years

Work: retired

Family status: widow, with 3 adult children

Quote: It was enough to say "I have angioedema" that they didn't do anything to you anymore, they treated you like a plague victim, no one wanted to give you medicine anymore, they didn't know how to do it. I often and willingly denied that I had angioedema

A senior lady who suffered a lot in the past due to HAE, including the trauma of finding her father dead, suffocated due to HAE

Has adult children affected by HAE

Age-related comorbidities

Severe attacks in the past, now mild

Attack treatment only

Improve HAE ID cards. ID cards are a great way to let people know in cases of emergency about the condition of the person especially when they cannot talk or breathe

List of specialists: a list should be made available with all the local specialists that know about HAE that a person with HAE can go to for other health issues

More HAE centres. There is no centre in my region. She would like more specialist centres so that people affected with HAE don’t have to travel far for a visit

GIUSY

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Age: 30–39 years

Work: full-time

Family status: married, with one child diagnosed with HAE

Quote: I try to teach, as much as I can, a 7-year-old girl. I try to do it by calming her down, saying, "Do you see Mommy [how Mommy injects medicine]?"

Diagnosed at paediatric age with her entire family

Her child has HAE

Moderate attacks

Prophylactic treatment

24 h call centre: a dedicated emergency number available 24 h for people to call when needed rather than having to call their specialists at their private mobile number (clinicians may not be available)

More defined paediatric care pathway: a more defined care pathway and regular checkups should be put in place, especially for children

Increasing awareness among kindergarten and school teachers about rare diseases like HAE (ex. Information brochures)

DAVIDE

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Age: 30–39 years

Work: full-time

Family status: married, with one child diagnosed with HAE

Quote: With [the child] I can define the attack in the sense that I just had to see… one day my dad brought [the child] home he says "I don't know if she has a stomachache". I saw her in the bathroom, I looked at her face and I knew she had an angioedema attack

A non-affected caregiver

His wife and daughter are affected by HAE

Information for caregivers and parents about the latest therapies (to be secure about the future of their child)

Psychological support. Over the years he learned to manage his anxiety and fear for his family, but he wishes he managed better past difficult moments