Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia

Common variable immunodeficiency (CVID) is a rare disorder characterized by primary antibody deficiency leading to hypogammaglobulinemia and increased risk of infections. Pulmonary hypertension (PH) is an unusual complication of CVID and may be associated with chronic hypoxemic respiratory failure....

Full description

Bibliographic Details
Main Authors: Paolo Ghiringhelli, Fabrizio Foieni, Girolamo Sala, Alessandro Diana, Beatrice Valvo, Mariella Ciola, Michele Zaza, Roberto Bertolini, Cinzia Simoni, Lorenzo Bellintani, Andrea Agostinelli, Federica Macchi, Sara Limbiati, Michela Provisione
Format: Article
Language:English
Published: SEEd 2023-01-01
Series:Clinical Management Issues
Subjects:
Online Access:http://journals.seedmedicalpublishers.com/index.php/cmi/article/view/1521
_version_ 1797938447898378240
author Paolo Ghiringhelli
Fabrizio Foieni
Girolamo Sala
Alessandro Diana
Beatrice Valvo
Mariella Ciola
Michele Zaza
Roberto Bertolini
Cinzia Simoni
Lorenzo Bellintani
Andrea Agostinelli
Federica Macchi
Sara Limbiati
Michela Provisione
author_facet Paolo Ghiringhelli
Fabrizio Foieni
Girolamo Sala
Alessandro Diana
Beatrice Valvo
Mariella Ciola
Michele Zaza
Roberto Bertolini
Cinzia Simoni
Lorenzo Bellintani
Andrea Agostinelli
Federica Macchi
Sara Limbiati
Michela Provisione
author_sort Paolo Ghiringhelli
collection DOAJ
description Common variable immunodeficiency (CVID) is a rare disorder characterized by primary antibody deficiency leading to hypogammaglobulinemia and increased risk of infections. Pulmonary hypertension (PH) is an unusual complication of CVID and may be associated with chronic hypoxemic respiratory failure. We described the case of a 47-year-old female patient hospitalized with worsening dyspnea, which had emerged about 10 days before and was associated with productive cough. 26 years before, she was diagnosed with common variable hypogammaglobulinemia, that was treated with intravenous immunoglobulin infusions for at least 20 years. She had suffered from recurrent secondary infections of the respiratory tract with inveterate bronchiectasis, pulmonary hypertension, and chronic respiratory failure. This case suggests that Internal Medicine wards, due to their global vision of the patient, are well suited to manage subjects with serious, complex, and genetically determined pathologies.
first_indexed 2024-04-10T19:00:54Z
format Article
id doaj.art-253b16f7d1b9431e9056bb9bec484ca2
institution Directory Open Access Journal
issn 2283-3137
language English
last_indexed 2024-04-10T19:00:54Z
publishDate 2023-01-01
publisher SEEd
record_format Article
series Clinical Management Issues
spelling doaj.art-253b16f7d1b9431e9056bb9bec484ca22023-01-31T09:42:02ZengSEEdClinical Management Issues2283-31372023-01-0117110.7175/cmi.v17i1.15211354Pulmonary Complications in a Patient with Common Variable HypogammaglobulinemiaPaolo Ghiringhelli0Fabrizio Foieni1Girolamo Sala2Alessandro Diana3Beatrice Valvo4Mariella Ciola5Michele Zaza6Roberto Bertolini7Cinzia Simoni8Lorenzo Bellintani9Andrea Agostinelli10Federica Macchi11Sara Limbiati12Michela Provisione13ASST Valle Olona, Presidio Ospedaliero di Saronno, UOC Medicina Interna, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Gallarate, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Gallarate, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyMedicina Interna, Ospedale di Circolo di Busto Arsizio, ASST Valle Olona, ItalyCommon variable immunodeficiency (CVID) is a rare disorder characterized by primary antibody deficiency leading to hypogammaglobulinemia and increased risk of infections. Pulmonary hypertension (PH) is an unusual complication of CVID and may be associated with chronic hypoxemic respiratory failure. We described the case of a 47-year-old female patient hospitalized with worsening dyspnea, which had emerged about 10 days before and was associated with productive cough. 26 years before, she was diagnosed with common variable hypogammaglobulinemia, that was treated with intravenous immunoglobulin infusions for at least 20 years. She had suffered from recurrent secondary infections of the respiratory tract with inveterate bronchiectasis, pulmonary hypertension, and chronic respiratory failure. This case suggests that Internal Medicine wards, due to their global vision of the patient, are well suited to manage subjects with serious, complex, and genetically determined pathologies.http://journals.seedmedicalpublishers.com/index.php/cmi/article/view/1521common variable hypogammaglobulinemia, respiratory failure, pulmonary hypertension
spellingShingle Paolo Ghiringhelli
Fabrizio Foieni
Girolamo Sala
Alessandro Diana
Beatrice Valvo
Mariella Ciola
Michele Zaza
Roberto Bertolini
Cinzia Simoni
Lorenzo Bellintani
Andrea Agostinelli
Federica Macchi
Sara Limbiati
Michela Provisione
Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia
Clinical Management Issues
common variable hypogammaglobulinemia, respiratory failure, pulmonary hypertension
title Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia
title_full Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia
title_fullStr Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia
title_full_unstemmed Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia
title_short Pulmonary Complications in a Patient with Common Variable Hypogammaglobulinemia
title_sort pulmonary complications in a patient with common variable hypogammaglobulinemia
topic common variable hypogammaglobulinemia, respiratory failure, pulmonary hypertension
url http://journals.seedmedicalpublishers.com/index.php/cmi/article/view/1521
work_keys_str_mv AT paologhiringhelli pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT fabriziofoieni pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT girolamosala pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT alessandrodiana pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT beatricevalvo pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT mariellaciola pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT michelezaza pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT robertobertolini pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT cinziasimoni pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT lorenzobellintani pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT andreaagostinelli pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT federicamacchi pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT saralimbiati pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia
AT michelaprovisione pulmonarycomplicationsinapatientwithcommonvariablehypogammaglobulinemia