Familial aggregation of IgAD and autoimmunity

被引:37
作者
Jorgensen, Gudmundur H. [1 ,2 ]
Thorsteinsdottir, Ingunn [3 ]
Gudmundsson, Sveinn [4 ]
Hammarstrom, Lennart [5 ]
Ludviksson, Bjorn R. [1 ,2 ]
机构
[1] Landspitali Univ Hosp, Dept Immunol, IS-101 Reykjavik, Iceland
[2] Univ Iceland, Dept Med, Reykjavik, Iceland
[3] Landspitali Univ Hosp, Dept Biochem, IS-101 Reykjavik, Iceland
[4] Iceland Blood Bank, Reykjavik, Iceland
[5] Karolinska Univ Hosp, Div Clin Immunol, Huddinge, Sweden
关键词
Immunoglobulin A deficiency; Genealogy; IgAD; Autoimmunity; Autoimmune diseases; COMMON VARIABLE IMMUNODEFICIENCY; CIRCULATING IMMUNE-COMPLEXES; DEFICIENT BLOOD-DONORS; DIABETES-MELLITUS; DISEASES; SUSCEPTIBILITY; ANTIBODIES; AUTOANTIBODIES; EPIDEMIOLOGY; ASSOCIATION;
D O I
10.1016/j.clim.2008.11.013
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: The prevalence of autoimmunity is thought to be increased among IgA deficient (IgAD) individuals. However, it is currently unclear if the two conditions coincide within families. Objective: To evaluate the prevalence of autoimmunity among IgAD individuals and their 1 degrees relatives. Material and methods: A total of 43 IgAD individuals (32 adults and 11 children) and all. available 1 degrees relatives were evaluated by a physician. A family history of autoimmunity was obtained, together with physical examination and a structured questionnaire that focused on symptoms and signs suggestive of autoimmunity. Results: Eight of the 32 (25%) adult IgAD, were found to have definite autoimmunity, with organ specific- and systemic autoimmune diseases equally distributed. None of the IgAD children had autoimmunity. Among the 1 degrees relatives, 27/269 (10%) had autoimmunity, compared to an estimate of 5% in the general population (p<0.05). Conclusion: Autoimmune diseases are highly prevalent in individuals with IgAD and more common in their 1 degrees relatives than expected, thus, suggesting a possible common genetic component. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:233 / 239
页数:7
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