Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

Logo MUG-Forschungsportal

Gewählte Publikation:

SHR Neuro Krebs Kardio Lipid

Turley, AJ; Gathmann, B; Bangs, C; Bradbury, M; Seneviratne, S; Gonzalez-Granado, LI; Hackett, S; Kutukculer, N; Alachkar, H; Hambleton, S; Ritterbusch, H; Kralickova, P; Marodi, L; Seidel, MG; Dueckers, G; Roesler, J; Huissoon, A; Baxendale, H; Litzman, J; Arkwright, PD.
Spectrum and management of complement immunodeficiencies (excluding hereditary angioedema) across Europe.
J Clin Immunol. 2015; 35(2):199-205
Web of Science PubMed FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Seidel Markus
Altmetrics:

Dimensions Citations:

Plum Analytics:
Abstract:
Complement immunodeficiencies (excluding hereditary angioedema and mannose binding lectin deficiency) are rare. Published literature consists largely of case reports and small series. We collated data from 18 cities across Europe to provide an overview of primarily homozygous, rather than partial genotypes and their impact and management. Patients were recruited through the ESID registry. Clinical and laboratory information was collected onto standardized forms and analyzed using SPSS software. Seventy-seven patients aged 1 to 68 years were identified. 44 % presented in their first decade of life. 29 % had C2 deficiency, defects in 11 other complement factors were found. 50 (65 %) had serious invasive infections. 61 % of Neisseria meningitidis infections occurred in patients with terminal pathway defects, while 74 % of Streptococcus pneumoniae infections occurred in patients with classical pathway defects (p < 0.001). Physicians in the UK were more likely to prescribe antibiotic prophylaxis than colleagues on the Continent for patients with classical pathway defects. After diagnosis, 16 % of patients suffered serious bacterial infections. Age of the patient and use of prophylactic antibiotics were not associated with subsequent infection risk. Inflammatory/autoimmune diseases were not seen in patients with terminal pathway, but in one third of patients classical and alternative pathway defects. The clinical phenotypes of specific complement immunodeficiencies vary considerably both in terms of the predominant bacterial pathogen, and the risk and type of auto-inflammatory disease. Appreciation of these phenotypic differences should help both immunologists and other specialists in their diagnosis and management of these rare and complex patients.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Child -
Child, Preschool -
Complement Activation - genetics
Complement Activation - immunology
Complement System Proteins - deficiency
Complement System Proteins - genetics
Complement System Proteins - immunology
Consanguinity -
Databases, Factual -
Disease Management -
Disease Management - epidemiology
Female -
Genotype -
Humans -
Immunologic Deficiency Syndromes - diagnosis
Immunologic Deficiency Syndromes - epidemiology
Immunologic Deficiency Syndromes - genetics
Immunologic Deficiency Syndromes - therapy
Infant -
Male -
Middle Aged -
Young Adult -

Find related publications in this database (Keywords)
Complement
immunodeficiency
meningococcemia
Streptococcus pneumoniae
atypical hemolytic uremic syndrome
glomerulopathy
vaccination
antibiotics
© Meduni Graz Impressum