Logotipo ImpactU
Autor

Application of the diagnostic criteria for Common Variable Immunodeficiency in resource-limited settings

Acceso Abierto

Abstract:

Common variable immunodeficiency (CVID) is the most prevalent symptomatic humoral deficiency; however, its heterogeneous presentation makes the diagnosis difficult. The present study is aimed to verify the CVID diagnostic criteria as established by the European Society for Immunodeficiencies in 42 CVID patients from our outpatient clinic.Information was collected from their medical records and when needed, lymphocyte subpopulations in peripheral blood (PB) were performed by flow cytometry.All the patients fulfilled the clinical working definition for CVID and showed decreased serum IgG and IgA at diagnosis. Over two-thirds of the patients had decreased memory B cell percentages. However, the remaining patients exhibited other quantitative B cell defects in PB. Evaluation of vaccination responses was only found in 13 records and 69% were not responsive. None of the patients were subjected to vaccination studies to both, T-cell dependent and independent antigens. The two required tests to evaluate T cell responses were performed in 84.2% of the patients and reported normal. Without the support of third-party payers, only 34.2% of our patients would have completed the required evaluations.Further efforts are needed to speed up CVID diagnosis in low-resourced settings, increasing the availability of the required resources and optimizing the healthcare supply chain.

Tópico:

Immunodeficiency and Autoimmune Disorders

Citaciones:

Citations: 3
3

Citaciones por año:

Altmétricas:

Paperbuzz Score: 0
0

Información de la Fuente:

SCImago Journal & Country Rank
FuenteAllergologia et Immunopathologia
Cuartil año de publicaciónNo disponible
Volumen50
Issue4
Páginas129 - 136
pISSNNo disponible
ISSN0301-0546

Enlaces e Identificadores:

Scienti ID0000086746-6158Scienti ID0000747912-139Scienti ID0000086878-6373
Scienti ID0001002104-191Scienti ID0001632671-5Scienti ID0001493434-9
Scienti ID0001352942-29Scienti ID0001492891-15Openalex URLhttps://openalex.org/W4283779452
Open_access URLhttps://www.all-imm.com/index.php/aei/article/download/496/927Scienti URLhttps://www.all-imm.com/index.php/aei/article/view/496Pmid URLhttps://pubmed.ncbi.nlm.nih.gov/35789412
Pdf URLhttps://all-imm.com/index.php/aei/article/download/496/927Doi URLhttps://doi.org/10.15586/aei.v50i4.496Scholar URLhttps://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=info%3AYSWa4y_67qMJ%3Ascholar.google.com&btnG=
Artículo de revista