Inborn errors of immunity with atopic phenotypes: A practical guide for allergists

Inborn errors of immunity (IEI) are a heterogeneous group of disorders, mainly resulting from mutations in genes associated with immunoregulation and immune host defense. These disorders are characterized by different combinations of recurrent infections, autoimmunity, inflammatory manifestations, l...

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Main Authors: Riccardo Castagnoli, Vassilios Lougaris, Giuliana Giardino, Stefano Volpi, Lucia Leonardi, Francesco La Torre, Silvia Federici, Stefania Corrente, Bianca Laura Cinicola, Annarosa Soresina, Caterina Cancrini, Gian Luigi Marseglia, Fabio Cardinale
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:World Allergy Organization Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1939455121000077
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author Riccardo Castagnoli
Vassilios Lougaris
Giuliana Giardino
Stefano Volpi
Lucia Leonardi
Francesco La Torre
Silvia Federici
Stefania Corrente
Bianca Laura Cinicola
Annarosa Soresina
Caterina Cancrini
Gian Luigi Marseglia
Fabio Cardinale
author_facet Riccardo Castagnoli
Vassilios Lougaris
Giuliana Giardino
Stefano Volpi
Lucia Leonardi
Francesco La Torre
Silvia Federici
Stefania Corrente
Bianca Laura Cinicola
Annarosa Soresina
Caterina Cancrini
Gian Luigi Marseglia
Fabio Cardinale
author_sort Riccardo Castagnoli
collection DOAJ
description Inborn errors of immunity (IEI) are a heterogeneous group of disorders, mainly resulting from mutations in genes associated with immunoregulation and immune host defense. These disorders are characterized by different combinations of recurrent infections, autoimmunity, inflammatory manifestations, lymphoproliferation, and malignancy. Interestingly, it has been increasingly observed that common allergic symptoms also can represent the expression of an underlying immunodeficiency and/or immune dysregulation.Very high IgE levels, peripheral or organ-specific hypereosinophilia, usually combined with a variety of atopic symptoms, may sometimes be the epiphenomenon of a monogenic disease. Therefore, allergists should be aware that severe and/or therapy-resistant atopic disorders might be the main clinical phenotype of some IEI. This could pave the way to target therapies, leading to better quality of life and improved survival in affected patients.
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spelling doaj.art-73c4006e1907427992636e678f5d225f2022-12-21T22:16:45ZengElsevierWorld Allergy Organization Journal1939-45512021-02-01142100513Inborn errors of immunity with atopic phenotypes: A practical guide for allergistsRiccardo Castagnoli0Vassilios Lougaris1Giuliana Giardino2Stefano Volpi3Lucia Leonardi4Francesco La Torre5Silvia Federici6Stefania Corrente7Bianca Laura Cinicola8Annarosa Soresina9Caterina Cancrini10Gian Luigi Marseglia11Fabio Cardinale12Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Department of Molecular Medicine, University of Pavia, Pavia, ItalyDepartment of Clinical and Experimental Sciences, Pediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, University of Brescia and ASST-Spedali Civili di Brescia, Brescia, ItalyPediatric Section, Department of Translational Medical Sciences, Federico II University, Naples, ItalyCenter for Autoinflammatory Diseases and Immunodeficiency, IRCCS Istituto Giannina Gaslini, Università degli Studi di Genova, Genoa, ItalyDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Pediatrics, Giovanni XXIII Pediatric Hospital, Bari, ItalyDivision of Rheumatology, IRCCS, Ospedale Pediatrico Bambino Gesù, Rome, ItalyDivision of Pediatrics, S. Camillo-Forlanini hospital, Rome ItalyDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy; Department of Experimental Medicine, Sapienza University of Rome, Rome, ItalyUnit of Pediatric Immunology, Pediatrics Clinic, University of Brescia, ASST-Spedali Civili Brescia, Brescia, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy; Academic Department of Pediatrics, Immune and Infectious Diseases Division, Research Unit of Primary Immunodeficiencies, Bambino Gesù; Children's Hospital, IRCCS, Rome, ItalyPediatric Clinic, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, ItalyDepartment of Pediatrics, Giovanni XXIII Pediatric Hospital, Bari, Italy; Corresponding author. Department of Pediatrics, Giovanni XXIII Pediatric Hospital, Bari, Italy.Inborn errors of immunity (IEI) are a heterogeneous group of disorders, mainly resulting from mutations in genes associated with immunoregulation and immune host defense. These disorders are characterized by different combinations of recurrent infections, autoimmunity, inflammatory manifestations, lymphoproliferation, and malignancy. Interestingly, it has been increasingly observed that common allergic symptoms also can represent the expression of an underlying immunodeficiency and/or immune dysregulation.Very high IgE levels, peripheral or organ-specific hypereosinophilia, usually combined with a variety of atopic symptoms, may sometimes be the epiphenomenon of a monogenic disease. Therefore, allergists should be aware that severe and/or therapy-resistant atopic disorders might be the main clinical phenotype of some IEI. This could pave the way to target therapies, leading to better quality of life and improved survival in affected patients.http://www.sciencedirect.com/science/article/pii/S1939455121000077Inborn errors of immunityPrimary immunodeficiencyAtopyAtopic phenotypesAllergy
spellingShingle Riccardo Castagnoli
Vassilios Lougaris
Giuliana Giardino
Stefano Volpi
Lucia Leonardi
Francesco La Torre
Silvia Federici
Stefania Corrente
Bianca Laura Cinicola
Annarosa Soresina
Caterina Cancrini
Gian Luigi Marseglia
Fabio Cardinale
Inborn errors of immunity with atopic phenotypes: A practical guide for allergists
World Allergy Organization Journal
Inborn errors of immunity
Primary immunodeficiency
Atopy
Atopic phenotypes
Allergy
title Inborn errors of immunity with atopic phenotypes: A practical guide for allergists
title_full Inborn errors of immunity with atopic phenotypes: A practical guide for allergists
title_fullStr Inborn errors of immunity with atopic phenotypes: A practical guide for allergists
title_full_unstemmed Inborn errors of immunity with atopic phenotypes: A practical guide for allergists
title_short Inborn errors of immunity with atopic phenotypes: A practical guide for allergists
title_sort inborn errors of immunity with atopic phenotypes a practical guide for allergists
topic Inborn errors of immunity
Primary immunodeficiency
Atopy
Atopic phenotypes
Allergy
url http://www.sciencedirect.com/science/article/pii/S1939455121000077
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