Children with frequent infections: A proposal for a stepwise assessment and investigation of the immune system

被引:6
作者
Cassimos, Dimitrios C. [1 ,2 ]
Liatsis, Manolis [1 ]
Stogiannidou, Anastasia [2 ]
Kanariou, Maria G. [1 ]
机构
[1] Aghia Sophia Childrens Hosp, Dept Immunol Histocompatibil, Ctr Primary Immunodeficiencies Paediat Immunol, Athens, Greece
[2] Democritus Univ Thrace, Dept Pediat, Alexandroupolis, Greece
关键词
infections; immune system; investigation; algorithm; immunodeficiencies; PRIMARY-IMMUNODEFICIENCY-DISEASES; CHRONIC GRANULOMATOUS-DISEASE; LINKED LYMPHOPROLIFERATIVE DISEASE; STEM-CELL TRANSPLANTATION; FLOW-CYTOMETRIC ANALYSIS; WISKOTT-ALDRICH-SYNDROME; BRUTONS TYROSINE KINASE; RECURRENT INFECTIONS; ANTIBODY-RESPONSE; CLINICAL-FEATURES;
D O I
10.1111/j.1399-3038.2009.00964.x
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Although many children develop frequent infections, only a few have an underlying immune disorder. Children with dysfunction of the immune system develop frequent infections and/or recurrent, persistent, severe, and rare infections. The aim of this review is to provide to the clinician a valuable tool for recognizing any 'discords' of the 'immune-system symphonic orchestra'. By following a reverse route, it will be possible to brighten up the dark and winding road of immunodeficiencies and identify the exact point of immune dysfunction. This is fundamental and crucial to perceive etiologic management and subsequently achieve the best for these young patients and their families.
引用
收藏
页码:463 / 473
页数:11
相关论文
共 83 条
  • [21] X-linked agammaglobulinemia
    Conley, ME
    Rohrer, J
    Minegishi, Y
    [J]. CLINICAL REVIEWS IN ALLERGY & IMMUNOLOGY, 2000, 19 (02) : 183 - 204
  • [22] Genetic analysis of patients with defects in early B-cell development
    Conley, ME
    Broides, A
    Hernandez-Trujillo, V
    Howard, V
    Kanegane, H
    Miyawaki, T
    Shurtleff, SA
    [J]. IMMUNOLOGICAL REVIEWS, 2005, 203 : 216 - 234
  • [23] Diagnosis and carrier detection of chronic granulomatous disease in five families by flow cytometry
    Crockard, AD
    Thompson, JM
    Boyd, NAM
    Haughton, DJ
    McCluskey, DR
    Turner, CP
    [J]. INTERNATIONAL ARCHIVES OF ALLERGY AND IMMUNOLOGY, 1997, 114 (02) : 144 - 152
  • [24] The child with recurrent respiratory infections: normal or not?
    de Martino, M.
    Ballotti, S.
    [J]. PEDIATRIC ALLERGY AND IMMUNOLOGY, 2007, 18 : 13 - 18
  • [25] Characterization of the cellular immune function of patients with chronic mucocutaneous candidiasis
    De Moraes-Vasconcelos, D
    Orii, NM
    Romano, CC
    Iqueoka, RY
    Duarte, AJD
    [J]. CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2001, 123 (02) : 247 - 253
  • [26] Patient-centred screening for primary immunodeficiency: a multi-stage diagnostic protocol designed for non-immunologists
    de Vries, E.
    [J]. CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2006, 145 (02) : 204 - 214
  • [27] TH 17 cells in development:: an updated view of their molecular identity and genetic programming
    Dong, Chen
    [J]. NATURE REVIEWS IMMUNOLOGY, 2008, 8 (05) : 337 - 348
  • [28] The European internet-based patient and research database for primary immunodeficiencies: results 2004-06
    Eades-Perner, A. -M.
    Gathmann, B.
    Knerr, V.
    Guzman, D.
    Veit, D.
    Kindle, G.
    Grimbacher, B.
    [J]. CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2007, 147 (02) : 306 - 312
  • [29] EPSTEIN MM, 1995, ANN ALLERG ASTHMA IM, V75, P125
  • [30] Leukocyte adhesion deficiency II - from A to almost Z
    Etzioni, A
    Tonetti, M
    [J]. IMMUNOLOGICAL REVIEWS, 2000, 178 : 138 - 147