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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
[Registry of Inborn errors of immunity in a pediatric hospital]
Miguel García-Domínguez1, Guadalupe Carmen Valero-Gálvez, Carlos Alberto Velázquez-Ríos
1Secretaría de Salud del Estado de Sinaloa, Hospital Pediátrico de Sinaloa, Departamento de Inmunología Clínica, Sinaloa, México. miguelgarcia.alergia@gmail.com.
Insights
The Pediatric Hospital of Sinaloa diagnosed and treated twelve cases of inborn errors of immunity (IEI) from 2017. Predominantly antibody deficiency was most common, with significant mortality from sepsis and hemorrhage.
Area of Science:
- Pediatric Immunology
- Clinical Genetics
- Public Health
Background:
- The Pediatric Hospital of Sinaloa joined the Latin American Society for Immunodeficiencies (LASID) registry in 2017.
- This affiliation aimed to track patients with primary immunodeficiency or inborn errors of immunity (IEI).
Observation:
- Twelve IEI cases were diagnosed and treated between 2017 and the study period.
- Patient ages ranged from two days to sixteen years, with symptom onset between nineteen days and four years.
- A male predominance (67%) was observed among diagnosed patients.
Findings:
- Predominantly antibody deficiency was the most frequent IEI (33.3%).
- Other diagnosed IEIs included phagocyte defects, autoinflammatory disorders, and combined immunodeficiencies.
- 84% received intravenous immunoglobulin; one patient with Wiskott-Aldrich syndrome had a WAS gene variant identified.
- One patient underwent hematopoietic stem cell transplantation.
- Mortality was 33.3%, with sepsis (25%) and hemorrhage (8.3%) as primary causes.
Implications:
- The IEI registry provides crucial epidemiological data for developing targeted health policies.
- Improved data collection can lead to better resource allocation and enhanced care models for IEI patients.
- This study highlights the need for early diagnosis and comprehensive management strategies for inborn errors of immunity.
Abstract:
In 2017, the Pediatric Hospital of Sinaloa (PHS) began its affiliation to the registry of patients with primary immunodeficiency or inborn errors of immunity (IEI) on the platform of the Latin American Society for Immunodeficiencies (LASID). During this period, twelve cases with IEI have been diagnosed and treated at the hospital. The age category at the time of diagnosis varied from two days to sixteen years old, and the range of the onset of the symptoms varied from nineteen days to four years, with a predominance of males (67%). The most frequent IEI was predominantly antibody deficiency (33.3%), followed by defects in the number or function of phagocytes (16.6%), autoinflammatory disorders (16.6%), immunodeficiencies that affect cellular and humoral immunity (16.6%), combined immunodeficiencies associated with syndromic findings (8.3%), and defects in intrinsic and inborn immunity (8.3%). 84% of patients received intravenous immunoglobulin and, in one case of a patient with Wiskott-Aldrich syndrome, a pathogenic variant in the WAS gene was identified; a patient received hematopoietic stem cell transplantation, 33.3% of patients died, of which 25% died of sepsis and 8.3% died of massive hemorrhage. The registry of IEI provides information about epidemiological data, incidences, prevalence, diagnoses, and treatments, which will favor the development of new health policies for obtaining resources and tools to improve the care models.
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