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Çocuklarda İmmün Yetmezliklere Yaklaşım

Year 2014, Volume: 14 Issue: 2, 62 - 65, 01.04.2014
https://doi.org/10.5222/j.child.2014.062

Abstract

Primer immün yetmezlikler fırsatçı enfeksiyonlar, malig- nite ve otoimmüniteye eğilim yaratan genetik geçişli has- talıklardır. Bu hastalıkların çoğu otozomal resesif geçişli olup, akraba evliliğnin sık olduğu bölgelerde daha fazla görülmektedir. Çoğu immün yetmezlikler sürecin başlan- gıcından itibaren dikkatli bir öykü ve fizik muayene ile tanı konulabilir. Akılcı laboratuvar incelemeleri ayırıcı tanıda yardımcı bilgiler sağlar. Primer immün yetmezlik- lerde ciddi enfeksiyonlar ortaya çıkmadan önce tanı konulması, prognoz ve aileye zamanında genetik danışma verilebilmesi için önemlidir. Aile öyküsünün ve klinik özelliklerin iyi değerlendirilmesi hastalığın erken tanısı için çok önemlidir

References

  • Geha rS, notarangelo lD, Casanova Jl, et al. Primary immunodeficiency diseases: an update from the International Union of Imunological Societies Primary Immunodeficiency Diseases Classification Committee. J Allergy Clin Immunol 2007;120:776-94. http://dx.doi.org/10.1016/j.jaci.2007.08.053
  • Cantoni n, recher M. Primary and secondary immu- nodeficiencies. Ther Umsch 2014;71:31-43. http://dx.doi.org/10.1024/0040-5930/a000479
  • Tosi FM. Normal and Impaired Immunologic Responses to Infection. In Feigin RD, Cherry JD, Demmler GJ, Kaplan SL, eds. Textbook of Pediatric Infectious Diseases, 7th Edition, Philadelphia, Saunders. 2014: 55-106.
  • De Vries E. Clinical Working Party of the European Society for Immunodeficiencies Patient-center scree- ning for primary immunodeficiency: a multi-stage diagnostic protocol designed for non-Immunologists. Clin Exp Immunol 2006: 204-14. http://dx.doi.org/10.1111/j.1365-2249.2006.03138.x
  • norouzi S, Aghamohammadi A, Mamishi S, rosenzweig SD, rezaei n. Bacillus Calmette-Guérin (BCG) complications associated with primary immu- nodeficiency diseases. J Infect 2012;64:543-54. http://dx.doi.org/10.1016/j.jinf.2012.03.012
  • Bonilla FA, Bernstein Il, Khan DA et al. Practice parameter for the of primary immunodeficiency. Ann Allergy Asthma Immunol 2005;94:1-63. http://dx.doi.org/10.1016/S1081-1206(10)61142-8
  • De Vries E. Clinical Working Party of the European Society for Immunodeficiencies Patient-center scree- ning for primary immunodeficiency: a multi-stage diagnostic protocol designed for non-Immunologists. Clin Exp Immunol 2006: 204-14. http://dx.doi.org/10.1111/j.1365-2249.2006.03138.x
  • Buckley Hr. Evaluation of suspected immunodefici- ency. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of pediatrics. 18th ed. Philadelphia: Saunders, 2007: 867-73.
  • notarangelo lD. Primary immunodeficiencies. J Allergy Clin Immunol 2010;125:182-94. http://dx.doi.org/10.1016/j.jaci.2009.07.053
  • Casanova Jl, Abel l. Primary immunodeficiencies: a field in its infancy. Science 2007;317:617-9. http://dx.doi.org/10.1126/science.1142963
  • notarangelo lD. Primary immunodeficiencies. J Allergy Clin Immunol 2010;125:182-94. http://dx.doi.org/10.1016/j.jaci.2009.07.053
  • Oliveira JB, Fleisher TA. Laboratory evaluation of primary immunodeficiencies. J Allergy Clin Immunol 2010;125:297-305. http://dx.doi.org/10.1016/j.jaci.2009.08.043
  • Turvey SE, Bonilla FA, Junker AK. Primary immu- nodeficiency diseases: a practical guide for clinicians. Postgrad Med J 2009;85:660-6. http://dx.doi.org/10.1136/pgmj.2009.080630
  • Arkwright PD, Gennery Ar. Ten warning signs of primary immunodeficiency: a new paradigm is needed for the 21st century. Ann N Y Acad Sci 2011;1238:7-14. http://dx.doi.org/10.1111/j.1749-6632.2011.06206.x

Approaches to Diagnosis of Immunodeficiency Diseases in Children

Year 2014, Volume: 14 Issue: 2, 62 - 65, 01.04.2014
https://doi.org/10.5222/j.child.2014.062

Abstract

Primary immunodeficiency disorders PIDs are inherited diseases of the immune system resulting in increased sus- ceptibility to unusual infections and predisposition to auto- immünity and malignancies. Most PIDs are inherited in an autosomal recessive pattern; therefore, they are more com- mon in areas with high rates of consanguineous marriages. Most immunodeficiency disorders can be diagnosed readily by employing a methodical process starting with careful analysis of the child’s presenting history and physical exa- mination. Rational laboratory examinations provides ancil- lary information for differential diagnosis. Early identifica- tion of PIDs beforeemergence of serious infections is important for prognosis, and providing timely genetic counselling to the family. Proper evaluation of family his- tory and clinical presentation of the patient are extremely important for the early diagnosis of this disorder

References

  • Geha rS, notarangelo lD, Casanova Jl, et al. Primary immunodeficiency diseases: an update from the International Union of Imunological Societies Primary Immunodeficiency Diseases Classification Committee. J Allergy Clin Immunol 2007;120:776-94. http://dx.doi.org/10.1016/j.jaci.2007.08.053
  • Cantoni n, recher M. Primary and secondary immu- nodeficiencies. Ther Umsch 2014;71:31-43. http://dx.doi.org/10.1024/0040-5930/a000479
  • Tosi FM. Normal and Impaired Immunologic Responses to Infection. In Feigin RD, Cherry JD, Demmler GJ, Kaplan SL, eds. Textbook of Pediatric Infectious Diseases, 7th Edition, Philadelphia, Saunders. 2014: 55-106.
  • De Vries E. Clinical Working Party of the European Society for Immunodeficiencies Patient-center scree- ning for primary immunodeficiency: a multi-stage diagnostic protocol designed for non-Immunologists. Clin Exp Immunol 2006: 204-14. http://dx.doi.org/10.1111/j.1365-2249.2006.03138.x
  • norouzi S, Aghamohammadi A, Mamishi S, rosenzweig SD, rezaei n. Bacillus Calmette-Guérin (BCG) complications associated with primary immu- nodeficiency diseases. J Infect 2012;64:543-54. http://dx.doi.org/10.1016/j.jinf.2012.03.012
  • Bonilla FA, Bernstein Il, Khan DA et al. Practice parameter for the of primary immunodeficiency. Ann Allergy Asthma Immunol 2005;94:1-63. http://dx.doi.org/10.1016/S1081-1206(10)61142-8
  • De Vries E. Clinical Working Party of the European Society for Immunodeficiencies Patient-center scree- ning for primary immunodeficiency: a multi-stage diagnostic protocol designed for non-Immunologists. Clin Exp Immunol 2006: 204-14. http://dx.doi.org/10.1111/j.1365-2249.2006.03138.x
  • Buckley Hr. Evaluation of suspected immunodefici- ency. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of pediatrics. 18th ed. Philadelphia: Saunders, 2007: 867-73.
  • notarangelo lD. Primary immunodeficiencies. J Allergy Clin Immunol 2010;125:182-94. http://dx.doi.org/10.1016/j.jaci.2009.07.053
  • Casanova Jl, Abel l. Primary immunodeficiencies: a field in its infancy. Science 2007;317:617-9. http://dx.doi.org/10.1126/science.1142963
  • notarangelo lD. Primary immunodeficiencies. J Allergy Clin Immunol 2010;125:182-94. http://dx.doi.org/10.1016/j.jaci.2009.07.053
  • Oliveira JB, Fleisher TA. Laboratory evaluation of primary immunodeficiencies. J Allergy Clin Immunol 2010;125:297-305. http://dx.doi.org/10.1016/j.jaci.2009.08.043
  • Turvey SE, Bonilla FA, Junker AK. Primary immu- nodeficiency diseases: a practical guide for clinicians. Postgrad Med J 2009;85:660-6. http://dx.doi.org/10.1136/pgmj.2009.080630
  • Arkwright PD, Gennery Ar. Ten warning signs of primary immunodeficiency: a new paradigm is needed for the 21st century. Ann N Y Acad Sci 2011;1238:7-14. http://dx.doi.org/10.1111/j.1749-6632.2011.06206.x
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Murat Sütçü This is me

Ayper Somer This is me

Publication Date April 1, 2014
Published in Issue Year 2014 Volume: 14 Issue: 2

Cite

APA Sütçü, M., & Somer, A. (2014). Çocuklarda İmmün Yetmezliklere Yaklaşım. Journal of Child, 14(2), 62-65. https://doi.org/10.5222/j.child.2014.062
AMA Sütçü M, Somer A. Çocuklarda İmmün Yetmezliklere Yaklaşım. Journal of Child. April 2014;14(2):62-65. doi:10.5222/j.child.2014.062
Chicago Sütçü, Murat, and Ayper Somer. “Çocuklarda İmmün Yetmezliklere Yaklaşım”. Journal of Child 14, no. 2 (April 2014): 62-65. https://doi.org/10.5222/j.child.2014.062.
EndNote Sütçü M, Somer A (April 1, 2014) Çocuklarda İmmün Yetmezliklere Yaklaşım. Journal of Child 14 2 62–65.
IEEE M. Sütçü and A. Somer, “Çocuklarda İmmün Yetmezliklere Yaklaşım”, Journal of Child, vol. 14, no. 2, pp. 62–65, 2014, doi: 10.5222/j.child.2014.062.
ISNAD Sütçü, Murat - Somer, Ayper. “Çocuklarda İmmün Yetmezliklere Yaklaşım”. Journal of Child 14/2 (April 2014), 62-65. https://doi.org/10.5222/j.child.2014.062.
JAMA Sütçü M, Somer A. Çocuklarda İmmün Yetmezliklere Yaklaşım. Journal of Child. 2014;14:62–65.
MLA Sütçü, Murat and Ayper Somer. “Çocuklarda İmmün Yetmezliklere Yaklaşım”. Journal of Child, vol. 14, no. 2, 2014, pp. 62-65, doi:10.5222/j.child.2014.062.
Vancouver Sütçü M, Somer A. Çocuklarda İmmün Yetmezliklere Yaklaşım. Journal of Child. 2014;14(2):62-5.