初级免疫缺陷在儿童最初入院与胃肠道/肝脏的表现
Murat Cakir1, Nalan Yakici2, Elif Sag1
1Department of Pediatric Gastroenterology Hepatology and Nutrition, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Pediatric gastroenterology, hepatology & nutrition
|July 24, 2023
概括
患有原发性免疫缺陷疾病 (PID) 的儿科患者经常出现胃肠道问题. 识别这些症状和相关疾病可以帮助早期诊断PID.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 免疫学 免疫学 免疫学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 初级免疫缺陷疾病 (PID) 经常影响胃肠道系统和肺部.
- 胃肠道症状是患有PID的儿童常见的初始表现.
- 早期识别PID对于及时干预和管理至关重要.
研究的目的:
- 分析最初在胃肠病学/肝病学诊所见过的儿科患者的临床和组织病理学发现.
- 在这个患者队列中确定诊断PID的关键临床指标.
- 改进具有胃肠道表现的PID诊断途径.
主要方法:
- 对人口统计,实验室和病理学数据的回顾性分析.
- 包括最初被录取到儿科胃肠病学/肝病学部门,后来被诊断为PID的患者.
- 记录治疗方法和患者的结果.
主要成果:
- 包括24名患者,抗体缺乏是最常见的诊断 (29.2%).
- 常见的表现包括慢性腹,大肠炎,急性肝炎和急性肝衰竭.
- 有关自身免疫性疾病 (20.8%),恶性瘤 (8.3%) 和严重的病毒感染 (16.6%) 的相关性.
结论:
- 胃肠道和肝脏问题可能是儿童PID的早期症状.
- 在自身免疫性疾病,恶性瘤或严重的病毒感染的情况下,应该怀疑PIDs.
- 确定的PID诊断需要在初始实验室查后进行基因分析.
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