过敏性疾病作为临床表型标记在患有共同变量免疫缺陷的患者中
Eray Yıldız1, Fatih Çölkesen2, Sevket Arslan2
1Division of Allergy and Immunology, Necip Fazıl City Hospital, Kahramanmaraş, Turkey.
International archives of allergy and immunology
|July 20, 2023
概括
过敏性疾病在常见的可变免疫缺陷 (CVID) 患者中很常见,影响37%的患者. 在CVID患者中早期诊断和治疗这些疾病可以改善他们的生活质量.
科学领域:
- 免疫学 免疫学 免疫学
- 临床医学 临床医学
- 过敏 过敏是一种过敏.
背景情况:
- 常见的可变免疫缺陷 (CVID) 与由于免疫缺陷而导致过敏疾病的易感性增加有关.
- 了解CVID中过敏状况的患病率和特征对于患者管理至关重要.
研究的目的:
- 为了确定成人CVID患者中过敏疾病的患病率.
- 在这个人群中调查与过敏性疾病相关的临床和实验室特征.
主要方法:
- 分析了成年CVID患者的队列.
- 患者按表型分类,有过敏性疾病,包括亚托皮性皮肤炎,药物过敏性,过敏性鼻炎和喘.
- 在患有和没有过敏疾病的患者之间比较了临床和免疫学参数.
主要成果:
- 在37%的CVID患者中观察到过敏性疾病,其中喘是最普遍的 (25%).
- 过敏性疾病患者的诊断延迟较短,血清总IgE,CD19+B细胞,切换记忆B细胞和NK细胞水平较高.
- 淋巴扩散是最常见的表型 (48.8%).
结论:
- 过敏性疾病在CVID中作为显著的临床表型标记物,与独特的免疫学概况相关.
- 在CVID患者中早期识别过敏疾病对于改善他们的临床结果和生活质量至关重要.
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