What you need to know about IgA deficiency: A case study

被引:5
作者
Mertin, Susan [1 ]
Thomson, Ian [2 ]
机构
[1] St Boniface Gen Hosp, Cardiac Sci Program, Winnipeg, MB, Canada
[2] Univ Manitoba, Dept Anesthesia, Winnipeg, MB, Canada
关键词
Cardiovascular; case management; autoimmune disorders; nurse practitioners; patient education; screening; ear; nose; and throat (ENT); TRANSFUSION REACTIONS; BLOOD CONSERVATION; IMMUNOGLOBULIN-A; CARDIAC-SURGERY; ANTI-IGA;
D O I
10.1002/2327-6924.12077
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose: To provide nurse practitioners (NPs) with an overview of the physiology, pathophysiology, associated diseases clinical implications for blood transfusions for patients with immunoglobulin A deficiency (IgAD). Data sources: A review of the scientific literature was performed on IgAD using PubMed, Medline, and CINAHL. The case study of a patient with IgAD going for cardiac surgery is used to integrate this knowledge into clinical practice. Conclusions: IgAD is being identified in asymptomatic people through screening for numerous conditions. NPs receiving results on their patients may not fully comprehend the significance of IgAD. Implications for practice: Knowledge of the underlying physiology and pathophysiology of IgAD enables the NP to obtain an accurate and comprehensive patient assessment, establish differential diagnoses, and manage issues related to potential associated conditions as well as potential blood transfusion risks.
引用
收藏
页码:268 / 272
页数:5
相关论文
共 27 条
[1]   Immunologic evaluation of patients with recurrent ear, nose, and throat infections [J].
Aghamohammadi, Asghar ;
Moin, Mostafa ;
Karimi, Alireza ;
Naraghi, Mohsen ;
Zandieh, Fariborz ;
Isaeian, Anna ;
Tahaei, Amir ;
Talaei-Khoei, Mojtaba ;
Kouhi, Ali ;
Abdollahzade, Sina ;
Pouladi, Nima ;
Heidari, Golnaz ;
Amirzargar, Ali Akbar ;
Rezaei, Nima ;
Sazgar, Amir Arvin .
AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2008, 29 (06) :385-392
[2]   IgA Deficiency: Correlation Between Clinical and Immunological Phenotypes [J].
Aghamohammadi, Asghar ;
Cheraghi, Taher ;
Gharagozlou, Mohammad ;
Movahedi, Masoud ;
Rezaei, Nima ;
Yeganeh, Mehdi ;
Parvaneh, Nima ;
Abolhassani, Hassan ;
Pourpak, Zahra ;
Moin, Mostafa .
JOURNAL OF CLINICAL IMMUNOLOGY, 2009, 29 (01) :130-136
[3]   An evaluation of the DiaMed assays for immunoglobulin A antibodies (anti-IgA) and IgA deficiency [J].
Brown, Ross ;
Nelson, Margaret ;
Aklilu, Esther ;
Kabani, Karieshma ;
Yang, Shihong ;
Blayney, Bernadette ;
Popp, Hazel .
TRANSFUSION, 2008, 48 (10) :2057-2059
[4]   Educational paper Primary antibody deficiencies [J].
Driessen, Gertjan ;
van der Burg, Mirjam .
EUROPEAN JOURNAL OF PEDIATRICS, 2011, 170 (06) :693-702
[5]   IgA deficiency: clinical correlates and responses to pneumococcal vaccine [J].
Edwards, E ;
Razvi, S ;
Cunningham-Rundles, C .
CLINICAL IMMUNOLOGY, 2004, 111 (01) :93-97
[6]   Perioperative blood transfusion and blood conservation in cardiac surgery: The Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists Clinical Practice Guideline [J].
Ferraris, Victor A. ;
Ferraris, Suellen P. ;
Saha, Sibu P. ;
Hessel, Eugene A., II ;
Haan, Constance K. ;
Royston, B. David ;
Bridges, Charles R. ;
Higgins, Robert S. D. ;
Despotis, George ;
Brown, Jeremiah R. ;
Spiess, Bruce D. ;
Shore-Lesserson, Linda ;
Stafford-Smith, Mark ;
Mazer, C. David ;
Bennett-Guerrero, Elliott ;
Hill, Steven E. ;
Body, Simon .
ANNALS OF THORACIC SURGERY, 2007, 83 (05) :27-86
[7]   Autoimmunity in IgA deficiency: Revisiting the role of IgA as a silent housekeeper [J].
Jacob, Cristina M. A. ;
Pastorino, Antonio C. ;
Fahl, Kristine ;
Carneiro-Sampaio, Magda ;
Monteiro, Renato C. .
JOURNAL OF CLINICAL IMMUNOLOGY, 2008, 28 (Suppl 1) :S56-S61
[8]   Selective IgA deficiency in early life: Association to infections and allergic diseases during childhood [J].
Janzi, Magdalena ;
Kull, Inger ;
Sjoberg, Ronald ;
Wan, Jinghong ;
Melen, Erik ;
Bayat, Narges ;
Ostblom, Eva ;
Pan-Hammarstrom, Qiang ;
Nilsson, Peter ;
Hammarstrom, Lennart .
CLINICAL IMMUNOLOGY, 2009, 133 (01) :78-85
[9]   Familial aggregation of IgAD and autoimmunity [J].
Jorgensen, Gudmundur H. ;
Thorsteinsdottir, Ingunn ;
Gudmundsson, Sveinn ;
Hammarstrom, Lennart ;
Ludviksson, Bjorn R. .
CLINICAL IMMUNOLOGY, 2009, 131 (02) :233-239
[10]   Risks associated with transfusion of cellular blood components in Canada [J].
Kleinman, S ;
Chan, P ;
Robillard, P .
TRANSFUSION MEDICINE REVIEWS, 2003, 17 (02) :120-162