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Evaluation of the frequency and diagnostic delay of primary immunodeficiency disorders among suspected patients based on the 10 warning sign criteria: A cross-sectional study in Iran
Bahrami, A; Sayyahfar, S; Soltani, Z; Khodadost, M; Moazzami, B; Rezaei, N.
Afiliação
  • Bahrami, A; Hospital Dr. Carlos G. Durand. Unidad de Inmunología e Histocompatibilidad. Buenos Aires. Argentina
  • Sayyahfar, S; Hospital Dr. Carlos G. Durand. Unidad de Inmunología e Histocompatibilidad. Buenos Aires. Argentina
  • Soltani, Z; Hospital Dr. Carlos G. Durand. Unidad de Inmunología e Histocompatibilidad. Buenos Aires. Argentina
  • Khodadost, M; Hospital Dr. Carlos G. Durand. Unidad de Inmunología e Histocompatibilidad. Buenos Aires. Argentina
  • Moazzami, B; Hospital Dr. Carlos G. Durand. Unidad de Inmunología e Histocompatibilidad. Buenos Aires. Argentina
  • Rezaei, N; Hospital Dr. Carlos G. Durand. Unidad de Inmunología e Histocompatibilidad. Buenos Aires. Argentina
Allergol. immunopatol ; 48(6): 711-719, nov.-dic. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-199262
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT

BACKGROUND:

Common Variable Immunodeficiency (CVID) is characterized by an impaired antibody production and a higher susceptibility to encapsulated bacterial infections. Lung disease is considered to be the most important cause of morbidity and mortality.

METHODS:

We analyzed clinical, radiological and functional characteristics in 80 patients with CVID assisted in the Unidad Inmunologia e Histocompatibilidad at Durand Hospital from 1982 to 2018.

RESULTS:

Of the 80 patients, 55 showed pathologic lung Computed Tomography (CT). Twenty of them (36.4%) showed bronchiectasis; 26 (47.3%) interstitial involvement associated with nodules and adenopathies called GLILD (granulomatous-lymphocytic interstitial lung disease); and nine patients (16.3%) showed other lesions. Nine percent of patients with lung disease showed CT progression; none of them had spirometry worsening. GLILD patients had normal and restrictive patterns in lung function tests, in equal proportions. Two patients - one with GLILD and the other one with bronchiectasis - had an increase in spirometric pattern severity without CT progression. Lung biopsy was performed in 19% of GLILD patients, all of whom had histopathologic diagnosis of Lymphoid Interstitial Pneumonia (LIP).

CONCLUSIONS:

GLILD is the major cause of lung disease in CVID. Computed tomography is useful for diagnosis but not necessary in follow-up, in which functional tests should have better correlation with clinical evolution, reducing radiation exposure. Biopsy should be indicated when the clinical diagnosis is unclear. Treatment should be considered whenever there is clear evidence of disease progression
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Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Diagnóstico Tardio / Síndromes de Imunodeficiência Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Allergol. immunopatol Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Hospital Dr. Carlos G. Durand/Argentina
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Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Diagnóstico Tardio / Síndromes de Imunodeficiência Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Allergol. immunopatol Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Hospital Dr. Carlos G. Durand/Argentina
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