Respiratory disorders in common variable immunodeficiency.

M A Martínez García; M D de Rojas; M D Nauffal Manzur; M P Muñoz Pamplona; L Compte Torrero; V Macián; M Perpiñá Tordera

doi:10.1053/rmed.2000.1020

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Respiratory disorders in common variable immunodeficiency.

M A Martínez García·M D de Rojas·M D Nauffal Manzur·M P Muñoz Pamplona·L Compte Torrero·V Macián·M Perpiñá Tordera

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Abstract

Common variable immunodeficiency (CVID) is a heterogeneous immunodeficiency syndrome characterized by hypogammaglobulinemia, recurrent bacterial infections, and various immunologic abnormalities. The clinical presentation is generally that of recurrent pyogenic sinopulmonary infections. Our objectives were to study the prevalence of lung involvement and the response to intravenous immunoglobulin replacement therapy in 19 patients with CVID. Nineteen patients (12 men) with a mean age (SD) of 33.1 (17.1) years had a previous diagnosis of CVID and were treated with intravenous immunoglobulin replacement. All patients underwent complete pulmonary function tests and high-resolution computed tomography (HRCT) examination. Bronchiectasis was diagnosed in 11 (58%) patients and eight (42%) were multi-lobar bronchiectasis. Chronic airflow limitation (CAL) was present in 10 (53%) patients and a restrictive pattern was seen in one case. Eleven patients (58%) presented a decrease in single-breath carbon monoxide diffusing capacity of the lung (DL(CO)). Before intravenous immunoglobulin replacement therapy (INIRT), 84% of patients had suffered from at least one episode of pneumonia. Episodes of lower respiratory tract infection decreased significantly from 0.28 per patient and year before replacement therapy to 0.16 per patient and year after treatment. The mean duration of replacement therapy was 7.5 years. In conclusion lung involvement was frequent in patients with CVID. Long-term administration of intravenous gammaglobulin resulted in a substantial reduction of pneumonic episodes.

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Adolescent Adult Aged Chi-Square Distribution Child Common Variable Immunodeficiency Female Humans Immunoglobulins, Intravenous Male Middle Aged Prospective Studies Respiratory Function Tests Respiratory Tract Diseases Statistics, Nonparametric Tomography, X-Ray Computed Treatment Outcome Journal Article

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M A Martínez García, M D de Rojas, M D Nauffal Manzur, M P Muñoz Pamplona, L Compte Torrero, V Macián, M Perpiñá Tordera. 2001. Respiratory disorders in common variable immunodeficiency.. https://doi.org/10.1053/rmed.2000.1020

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