2005 AAAI 美国原发性免疫缺陷的诊断和管理

发布日期:
2005-01-01
英文标题:
2005 AAAI Practice parameter for the diagnosis and management of primary immunodeficiency
出处:
Ann Allergy 2005; 94:S1-S63.
摘要:

Antibody deficiencies present with recurrent sinopulmonary infections with encapsulated bacteria. Cellular deficiencies present with atypical mycobacterial and salmonella infections; or mucocutaneous candidiasis and autoimmune endocrinopathy. Combined deficiencies present with failure to thrive, diarrhoea, opportunistic infection, and/or rash; or thrombocytopenia with bleeding and bruising, eczema, and/or recurrent infection with encapsulated organisms; or chronic sinopulmonary disease, cerebellar ataxia, oculocutaneous telangiectasia, and/or malignancy; or hypocalcaemic seizures due to hypoparathyroidism, cardiac disease, abnormal facies, and/or infection; or recurrent, serious pyogenic infections (also opportunistic infections). Phagocyte defects present with deep-seated infection and/or abscess with granuloma formation; or recurrent serious bacterial infections, delayed separation of the umbilical cord, poor wound healing, and/or lack of pus; or chronic dermatitis, recurrent serious infection of lungs with pneumatocoeles, skin infections, bone fragility, and/or failure to shed primary teeth. Complement deficiencies present with autoimmune disease and bacterial infections; or neisserial infection; or recurrent infections with encapsulated bacteria.

Tests include tests for B-cell function, cellular immune function, phagocytic cell function, and complement function.

Diagnosis of secondary hypogammaglobulinaemias is not covered.

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编者信息
过敏、哮喘和免疫联合委员会

过敏,哮喘及免疫学(JCAAI)联合委员会成立于1975年5月,JCAAI旨在使过敏/免疫病病人获得最高质量的医疗。

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