Current Approach to Primary Immunodeficiency Diseases

Primary immunodeficiency diseases (PIDD) are inherited disorders resulting from defects in diverse elements of the human immune system. Currently, more than 330 PIDDs have been described, and the molecular (genetic) bases for more than 320 of them are known. PIDD can be divided into nine different g...

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Main Author: Öner Özdemir
Format: Article
Language:English
Published: KARE Publishing 2019-03-01
Series:Southern Clinics of Istanbul Eurasia
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-29290
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author Öner Özdemir
author_facet Öner Özdemir
author_sort Öner Özdemir
collection DOAJ
description Primary immunodeficiency diseases (PIDD) are inherited disorders resulting from defects in diverse elements of the human immune system. Currently, more than 330 PIDDs have been described, and the molecular (genetic) bases for more than 320 of them are known. PIDD can be divided into nine different groups, including antibody (humoral) deficiencies, innate/intrinsic deficiencies, phagocytic system deficiencies, complement component deficiencies, combined (T and B cells) immunodeficiencies, syndromic combined immunodeficiencies, immune dysregulation disorders, autoinflammatory diseases and phenocopies of PIDD. In the PIDD group, primary antibody deficiencies are the most common group, and approximately 50% of patients with PIDD fall into this group of deficiencies. Congenital primary immunodeficiencies typically appear early in life, although late onset is gradually more identified. Affected patients usually present clinically with recurrent/ severe infections, or clinical pictures resembling various autoimmune or other diseases. An early diagnosis of congenital immunodeficiencies is necessary for transfer to specialized medical centers, and prompt commencement of the optimal treatment, including transplantation and enhanced outcomes. In this review, a general approach is described for the investigation of the most common groups of PIDD, outlining the most appropriate laboratory investigations when the clinician comes across typical clinical pictures and/or infections suggesting immunodeficiency.
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spelling doaj.art-4d5c42ec8084422caa3974d330efb6bf2023-02-15T16:08:42ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982019-03-01301839010.14744/scie.2019.29290SCIE-29290Current Approach to Primary Immunodeficiency DiseasesÖner Özdemir0Department of Pediatrics, Division of Allergy and Immunology, Sakarya University Faculty of Medicine, Adapazarı, TurkeyPrimary immunodeficiency diseases (PIDD) are inherited disorders resulting from defects in diverse elements of the human immune system. Currently, more than 330 PIDDs have been described, and the molecular (genetic) bases for more than 320 of them are known. PIDD can be divided into nine different groups, including antibody (humoral) deficiencies, innate/intrinsic deficiencies, phagocytic system deficiencies, complement component deficiencies, combined (T and B cells) immunodeficiencies, syndromic combined immunodeficiencies, immune dysregulation disorders, autoinflammatory diseases and phenocopies of PIDD. In the PIDD group, primary antibody deficiencies are the most common group, and approximately 50% of patients with PIDD fall into this group of deficiencies. Congenital primary immunodeficiencies typically appear early in life, although late onset is gradually more identified. Affected patients usually present clinically with recurrent/ severe infections, or clinical pictures resembling various autoimmune or other diseases. An early diagnosis of congenital immunodeficiencies is necessary for transfer to specialized medical centers, and prompt commencement of the optimal treatment, including transplantation and enhanced outcomes. In this review, a general approach is described for the investigation of the most common groups of PIDD, outlining the most appropriate laboratory investigations when the clinician comes across typical clinical pictures and/or infections suggesting immunodeficiency.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-29290combined immunodeficiencydiagnosis; primary immunodeficiency disease; severe combined immunodeficiency.
spellingShingle Öner Özdemir
Current Approach to Primary Immunodeficiency Diseases
Southern Clinics of Istanbul Eurasia
combined immunodeficiency
diagnosis; primary immunodeficiency disease; severe combined immunodeficiency.
title Current Approach to Primary Immunodeficiency Diseases
title_full Current Approach to Primary Immunodeficiency Diseases
title_fullStr Current Approach to Primary Immunodeficiency Diseases
title_full_unstemmed Current Approach to Primary Immunodeficiency Diseases
title_short Current Approach to Primary Immunodeficiency Diseases
title_sort current approach to primary immunodeficiency diseases
topic combined immunodeficiency
diagnosis; primary immunodeficiency disease; severe combined immunodeficiency.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-29290
work_keys_str_mv AT onerozdemir currentapproachtoprimaryimmunodeficiencydiseases