Digitalni repozitorij raziskovalnih organizacij Slovenije

Izpis gradiva
A+ | A- | SLO | ENG

Naslov:Initial presenting manifestations in 16,486 patients with inborn errors of immunity include infections and noninfectious manifestations
Avtorji:Thalhammer, Julian (Avtor)
Kindle, Gerhard (Avtor)
Nieters, Alexandra (Avtor)
Rusch, Stephan (Avtor)
Seppänen, Mikko R. J. (Avtor)
Fischer, Alain (Avtor)
Grimbacher, Bodo (Avtor)
Edgar, David (Avtor)
Buckland, Matthew (Avtor)
Mahlaoui, Nizar (Avtor)
Kopač, Peter (Drugo)
Jezik:Angleški jezik
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:Logo UKPBAG - Univerzitetna klinika za pljučne bolezni in alergijo Golnik
Povzetek:Background. Inborn errors of immunity (IEI) are rare diseases, which makes diagnosis a challenge. A better description of the initial presenting manifestations should improve awareness and avoid diagnostic delay. Although increased infection susceptibility is a well-known initial IEI manifestation, less is known about the frequency of other presenting manifestations. Objective. We sought to analyze age-related initial presenting manifestations of IEI including different IEI disease cohorts. Methods. We analyzed data on 16,486 patients of the European Society for Immunodeficiencies Registry. Patients with autoinflammatory diseases were excluded because of the limited number registered. Results. Overall, 68% of patients initially presented with infections only, 9% with immune dysregulation only, and 9% with a combination of both. Syndromic features were the presenting feature in 12%, 4% had laboratory abnormalities only, 1.5% were diagnosed because of family history only, and 0.8% presented with malignancy. Two-third of patients with IEI presented before the age of 6 years, but a quarter of patients developed initial symptoms only as adults. Immune dysregulation was most frequently recognized as an initial IEI manifestation between age 6 and 25 years, with male predominance until age 10 years, shifting to female predominance after age 40 years. Infections were most prevalent as a first manifestation in patients presenting after age 30 years. Conclusions. An exclusive focus on infection-centered warning signs would have missed around 25% of patients with IEI who initially present with other manifestations.
Ključne besede:immunity, autoimmune diseases, inflammation, signs and symptoms, registries, inborn error of immunity, primary immunodeficiency, immune dysregulation
Leto izida:2021
Založnik:Elsevier
Izvor:ZDA
UDK:616-097
ISSN pri članku:1097-6825
COBISS_ID:64144899 Povezava se odpre v novem oknu
Opombe:Nasl. z nasl. zaslona; Član delovne skupine iz Slovenije: Peter Kopač; Opis vira z dne 21. 5. 2021;
Število ogledov:139
Število prenosov:23
Datoteke:URL URL - Izvorni URL, za dostop obiščite https://www.sciencedirect.com/science/article/pii/S0091674921006540?dgcid=coauthor
 
Nadgradivo:J. allergy clin. immunol.
Elsevier
 
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
Avtorske pravice:(c)2021 Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology
:
  
Postavite miškin kazalec na naslov za izpis povzetka. Klik na naslov izpiše podrobnosti ali sproži prenos.


Nazaj