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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Clinical characteristics of primary immunodeficiencies

Clinical characteristics of primary immunodeficiencies
B cell defects
Recurrent pyogenic infections with extracellular encapsulated organisms, such as Streptococcus pneumoniae, Haemophilus influenzae type b, and group A Streptococcus.
Otitis, sinusitis, recurrent pneumonia, bronchiectasis, and conjunctivitis.
Few problems with fungal or viral infections (except enterovirus and poliomyelitis).
Diarrhea common, especially secondary to infection with Giardia lamblia.
Minimal growth retardation.
Compatible with survival to adulthood or for several years after onset unless complications occur.
Complement defects
Recurrent bacterial infections with extracellular encapsulated organisms, such as S. pneumoniae and H. influenzae.
Susceptibility to recurrent infections with Neisseria meningitides.
Increased incidence of autoimmune disease.
Severe or recurrent skin and respiratory tract infection.
T cell defects
Recurrent infections with less virulent or opportunistic organisms, such as fungi, Candida sp mycobacteria, viruses, and protozoa as well as bacteria.
Growth retardation, malabsorption, diarrhea, and failure to thrive common.
Anergy.
Susceptible to graft-versus-host disease from nonirradiated blood or from maternal engraftment.
Fatal reactions may occur from live virus or Bacille Calmette-Guérin vaccination.
High incidence of malignancy.
Poor survival beyond infancy or early childhood.
Neutrophil defects
Recurrent dermatologic infections with bacteria such as Staphylococcus spp, Pseudomonas spp, and Escherichia coli, and fungi such as Aspergillus.

Subcutaneous, lymph node, lung, and liver abscesses.

Pulmonary infections common, including abscess and pneumatocele formation, contributing to chronic disease.
Bone and joint infection common.
Delayed separation of umbilical cord.

Absence of pus at site(s) of infection.

Poor wound healing.
Innate TLR signaling defects (eg, MyD88 and IRAK4 deficiencies)
Early life infection with Staphylococcus spp, Streptococcus spp, and Pseudomonas aeruginosa.
Impaired/delayed systemic response (fever, acute phase response [increased CRP]) to infection.
Affects newborns, infants, and young children; lack of invasive infections after the teenage years.
TLR: Toll-like receptor; MyD88: myeloid differentiation primary response protein 88; IRAK4: interleukin-1 receptor associated kinase 4; CRP: C-reactive protein.
Original figure modified for this publication. TePas EC, Umetsu DT. Immunology and Allergy. In: Nelson Essentials of Pediatrics, 4th ed, Behrman RE, Kliegman RM, WB Saunders Company, Philadelphia, 2002. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 99498 Version 2.0

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