Sık Değişken İmmünyetmezlik (SDİ) çok farklı klinik prezantasyona ve immünolojik özelliğe sahip nadir bir primer immünyetmezlik hastalığıdır. Tüm hastalarda serum immünglobulin düzeyleri azalmış veya tamamen eksiktir. Bu çalışmada 2000-2007 yılları arasında S.B. Ankara Dışkapı Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi çocuk İmmünoloji Bölümünde yerleşmiş kriterlere göre SDİ tanısı alan ve takip edilen 34 hastanın ana klinik ve immünolojik bulguları değerlendirildi. Dokuz hasta agammaglobulinemik, 25 hasta ise hipogammagobulinemikti. On iki hastada kronik sinopul- moner enfeksiyonlar ve bronşektazi (% 35), 10 hastada kronik diare ve malabsorbsiyon (% 29), 8 hastada çeşitli otoimmün hastalıklar (% 23), ve 3 hastada lenfoid maligniteler (% 9) saptandı. Çalışmadan elde edilen veriler bronşektazinin agammaglobulinemik hastalarda daha sık, otoimmün patolojilerin ise hipogammaglobulinemik hastalarda daha sık olduğunu gösterdi. Ayrıca akraba evliliği bulunan ailelerden gelen hastaların, sporadik olgulara göre klinik ve laboratuvar bulgularının daha ciddi seyirli olduğu gözlendi.
Common Variable Immunodeficiency (CVID) is a rare primary immunodeficiency disease with heterogeneous clinical and immunological features. In all patients levels of serum immunoglobulins are absent or reduced, We presented the main clinical and immunological problems of 34 CVID patients who were followed in S.B. Ankara Dıskapı Children's Hospital, Pediatric Immunology Division, between the years of 2000-2007. Nine patients had agammaglobulinemia while 25 patients had hypogammaglobulinemia. Chronic respiratory infection (bronchiectasis) was present in 12 (35 %), chronic diarrhea with malabsorbtion in 10 (29 %), various autoimmune diseases in 8 (23 %) and lymphoid malignancies in 3 (9 %) patients in our series. Data received from this study showed that bronchiectasis was more prevalent in agammaglobulinemic patients while autoimmunities were more frequently developed in hypogammaglobulinemic patients. It was also seen that the clinical and laboratory features of CVID patients whose parents are consanguineous were more severe than sporadic cases
Other ID | JA32UA99MT |
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Journal Section | Research Article |
Authors | |
Publication Date | August 1, 2008 |
Submission Date | August 1, 2008 |
Published in Issue | Year 2008 Volume: 2 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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