差异诊断:在免疫的先天性错误中的肝脏并发症
Emily Zinser1, Ky-Lyn Tan1, Da-In S Kim2
1Department of Allergy and Clinical Immunology, Frimley Health NHS Foundation Trust, Surrey GU16 7UJ, UK.
Journal of clinical medicine
|December 9, 2023
概括
免疫的先天性错误 (IEI) 可以导致各种肝脏并发症,包括感染和非感染性问题. 对于IEI患者来说,早期诊断和管理至关重要,特别是随着治疗选择的扩大.
科学领域:
- 免疫学 免疫学 免疫学
- 肝病学 肝病学是一种肝病学.
- 遗传学 是一个遗传学.
背景情况:
- 免疫的先天性错误 (IEI) 呈现出不同的临床和遗传表型,患病率高达1/1000.
- 通常与感染相关,IEI还会导致免疫介导的非感染性肝脏并发症,增加发病率和死亡率.
- 随着生存率的提高和像HSCT这样的扩展疗法,IEI患者的阳性肝损伤越来越令人担忧.
研究的目的:
- 审查患有天生的免疫错误的患者肝脏并发症的范围.
- 突出这一患者队伍中管理肝病的挑战,特别是关于免疫抑制.
- 强调早期识别和迅速诊断IEI肝脏问题的重要性.
主要方法:
- 这是一个复习文章.
- 关于免疫的先天性错误中肝脏表现的文献搜索.
- 综合有关诊断和管理的当前知识.
主要成果:
- 肝脏参与IEI包括感染,结节性再生性增生,粒状体疾病,自身免疫性肝炎和恶性病.
- 由于不断发展的治疗策略,Iatrogenic肝损伤越来越受到认可.
- 管理是具有挑战性的,因为该群体对免疫抑制的耐受性较差.
结论:
- 在日益增长的IEI患者群体中,肝脏并发症是一个重大问题.
- 及时诊断和管理至关重要,尽管基于证据的最佳实践往往是有限的.
- 需要进一步的研究,以解决IEI中与免疫失调相关的肝病管理的不确定性.
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