Presentation
Associated with frequent, recurrent disseminated infections Streptococcus pneumoniae Neisseria meningitidis Neisseria gonorrhea May present as autoimmune disease (eg, systemic lupus erythematosus [SLE], nephritis) Presentation is similar among various [arupconsult.com]
Pneumocystis jiroveci pneumonia is possible as initial presentation. [unboundmedicine.com]
Presentation in early infancy.. .. .. Poor growth or failure to thrive.. .. .. Persistent oral thrush.. .. .. Opportunistic infection. Phagocytic Defects:. .. .. Presentation in infancy or childhood.. .. .. [hawaii.edu]
[…] of patients with suspected primary immunodeficiency is presented in Figure 1. [aafp.org]
Personal and Family History of the Patients No patient presented family history of complement deficiency. [journals.lww.com]
Entire Body System
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Increased Susceptibility to Infections
C5, C6, C7, C8, and C9 deficiencies are associated with increased susceptibility to infection with Neisseria organisms. Properdin deficiency is also associated with increased susceptibility to infection with Neisseria organisms. [clinicaladvisor.com]
Primary complement deficiencies are closely associated with increased susceptibility to infection, rheumatic/autoimmune diseases, or angioedema. Properdin deficiency is X linked. [adc.bmj.com]
Autoimmune disease can increase susceptibility to infections, especially in systemic lupus erythematosus ( 40, 24 ). [antimicrobe.org]
This may lead to an increased susceptibility to infection and a balance must often be struck between controlling immune complex disease and increasing propensity to infection. [patient.info]
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Recurrent Bacterial Infection
Related phenotypes are recurrent bacterial infections and complement deficiency UniProtKB/Swiss-Prot : 75 Complement factor D deficiency: An immunologic disorder characterized by increased susceptibility to bacterial infections, particularly Neisseria [malacards.org]
People with complement component 8 deficiency have a significantly increased risk of recurrent bacterial infections, particularly by a bacterium called Neisseria meningitidis. [icdlist.com]
C2 deficiency is also associated with recurrent bacterial infection and an increased risk of cardiovascular disease. [patient.info]
bacterial infections) Retained primary T eeth Hyper- IgE ( E osinophilia) D ermatologic (severe eczema ) Diagnosis IgE Variable eosinophilia Treatment IL-12 receptor deficiency Definition : impaired Th response due to IL-12 receptors Etiology : autosomal [amboss.com]
Histories of delayed separation of the umbilical cord, recurrent bacterial infections, necrotic skin lesions, severe gingivitis, periodontitis, and alveolar bone loss leading to early loss of deciduous and permanent teeth suggest the diagnosis. [hawaii.edu]
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Pathologist
Confidently prepare for the upcoming recertification exams for clinical pathologists set to begin in 2016. [books.google.de]
Henderson Professor of Pathology and Health Sciences and Technology, Department of Pathology, Harvard Medical School, Staff Pathologist, Brigham and Women's Hospital, Boston, Massachusetts Abul K. [books.google.es]
Neurologic
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Stroke
[…] all the latest approaches in clinical laboratory medicine with new and updated coverage of: the chemical basis for analyte assays and common interferences; lipids and dyslipoproteinemia; markers in the blood for cardiac injury evaluation and related stroke [books.google.de]
Workup
[…] recurrent abdominal pain attacks (4) occurrence of upper airway edema (5) failure to respond to antihistamines, glucocorticoid, or epinephrine; and (6) presence of prodromal signs or symptoms before swellings • Suspicion of HAE-1/2 should prompt laboratory workup [slideshare.net]
The immunologic workup of the child suspected of immunodeficiency. Ann Allergy Asthma Immunol 2001;87(5):362-370. 4. Paul ME, Shearer WT. Chapter 33- Approach to the Evaluation of the Immunodeficient Patient. In: Rich RR, Fleisher TA (eds). [hawaii.edu]
Treatment
Take full advantage of the major advances in asthma pathogenesis and management with significant updates on diagnosis, treatment, and special aspects of asthma. [books.google.de]
no specific treatment or prophylaxis is indicated. [amboss.com]
Abdel-Magid AF. (2012) Factor D Inhibitors for the Treatment of AMD: Patent Highlight. ACS Med Chem Lett, 3 (10): 781-2. [PMID:24900375] 2. [guidetopharmacology.org]
Treatment for 10 to 14 days is commonly recommended.29 Although fluoroquinolones provide excellent activity against N. meningitidis and achieve very good CSF levels, their role in the treatment of invasive meningococcal disease requires further study. [what-when-how.com]
Prognosis
The prognosis in primary immunodeficiency disorders is variable and depends on the specific disorder. Congenital B-cell immunodeficiencies B-cell defects ( humoral immunity deficiencies ) account for 50–60% of all primary immunodeficiencies. [amboss.com]
Deficiencies of the components of the MAC (C5-C9) tend to lead to less severe infections and have a better prognosis with careful management. [patient.info]
A rapid response and antibiotic therapy may help improve the prognosis ( PubMed ) ." [pusware.com]
[…] genetic cause cannot be identified in the majority of patients with clinical features of CVID, there are an increasing number of identificable conditions that can be linked to newly identified genetic disorders that have implications for the long term prognosis [worldallergy.org]
In addition, treatment before the age of 3 months is also associated with better prognosis. [antimicrobe.org]
Etiology
Selective IgA deficiency ( SIgAD ) Definition : the most common primary immunodeficiency with near or total absence of serum and secretory IgA Epidemiology : approx. 1/220 to 1/1000 Etiology : unknown Clinical features Often asymptomatic May manifest [amboss.com]
Inherited deficiencies are uncommon, while acquired deficiencies, due to a variety of etiologies, are much more common. [arupconsult.com]
Features: Get the answers to any questions you have with more in-depth coverage of epidemiology, etiology, pathology, microbiology, immunology, and treatment of infectious agents than you’ll find in any other ID resource. [euro-libris.ro]
The diagnosis should be directed toward primary and secondary etiologies that are consistent with the clinical presentation and pattern of infections. [worldallergy.org]
The organism was grown in pure culture in 1885, and its etiological relationship to human disease was later established using human volunteers in order to fulfill the experimental requirements of Koch's postulates. [textbookofbacteriology.net]
Epidemiology
Objectives After completing this article, readers should be able to: Understand the epidemiology of Neisseria meningitidis infections. Understand which patients are at increased risk of invasive and recurrent meningococcal disease. [pedsinreview.aappublications.org]
Selective IgA deficiency ( SIgAD ) Definition : the most common primary immunodeficiency with near or total absence of serum and secretory IgA Epidemiology : approx. 1/220 to 1/1000 Etiology : unknown Clinical features Often asymptomatic May manifest [amboss.com]
Relevant External Links for CFD Genetic Association Database (GAD) CFD Human Genome Epidemiology (HuGE) Navigator CFD Atlas of Genetics and Cytogenetics in Oncology and Haematology: CFD No data available for Genatlas for CFD Gene Human adipsin is identical [genecards.org]
Epidemiology and pathogenesis of Neisseria meningitidis. Microbes Infect 2, 687 –700. [CrossRef] [Google Scholar] 122. Urwin, R., Holmes, E. C., Fox, A. J., Derrick, J. P. & Maiden, M. C. ( 2002 ;). [jmm.microbiologyresearch.org]
[…] also include MBL testing, depending on clinical presentation Further testing based on disease presentation and initial testing – refer to Key Points and algorithm Monitoring Circulating immune complexes – may be useful for disease monitoring Background Epidemiology [arupconsult.com]
Pathophysiology
[…] clinical disorders or settings where the test may be helpful Investigation of suspected alternative pathway complement deficiency, atypical hemolytic uremic syndrome, C3 glomerulonephritis, dense-deposit disease Clinical Information Discusses physiology, pathophysiology [mayomedicallaboratories.com]
Meningococcal vaccine Prophylactic antibiotics C3 deficiency Definition : deficiency of the complement factor C3 and its cleaved fragments (e.g., C3b) Etiology : primary or secondary due to impairment in the regulatory proteins factor I or factor H Pathophysiology [amboss.com]
Caccia S, Suffritti C and Cicardi M (2014) Pathophysiology of hereditary angioedema. Pediatric Allergy, Immunology, and Pulmonology 27: 159–163. Carroll MC (2004) The complement system in regulation of adaptive immunity. [els.net]
100 Factor H 100 FHR1 (FHR3) 100 (5% Caucasians) Factor 1 50 Thrombomodulin (CD141) 10 CD46/MCP 50 CD55/DAF CR2 (CD21) Rare CR3 (CD18/CD11b) 1/million Genetics Autosomal recessive – most complement deficiency disorders X-linked – properdin deficiency Pathophysiology [arupconsult.com]
[…] change of cytosine to thymine at position 55 (55C T) leading to change of the glutamine amino acid at position 19 to a stop codon (Q19X), and serologically absence of C5 in the serum. [11] The 3 major sequelae of complement deficiencies, based on the pathophysiology [emedicine.medscape.com]
Prevention
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.de]
In this article, we review the basic microbiology, epidemiology, clinical presentation, treatment, and prevention of meningococcal disease. Microbiology N meningitidis is an aerobic, nonmotile Gram-negative diplococcus bacterium. [pedsinreview.aappublications.org]
May be transient (newborn) or permanent (HIV); more common than PID and tends to occur later in life General Prevention Early identification is key to prevent infection and possible comorbidity. [unboundmedicine.com]
Two vaccines developed to prevent serogroup B vaccine are in late-stage clinical development in the United States. [cdc.gov]
CD59 on hematologic cells is required to prevent unregulated complement lysis. This protein is bound to cells by a phosphoinositol linkage and this linkage is defective in individuals with paroxysmal nocturnal hemoglobinuria. [clinicaladvisor.com]