Inflammatory and autoimmune complications of common variable immune deficiency

被引:130
作者
Knight, AK [1 ]
Cunningham-Rundles, C [1 ]
机构
[1] CUNY Mt Sinai Sch Med, New York, NY 10029 USA
关键词
common variable immune deficiency; autoimmunity; idiopathic thrombocytopenia purpura; hemolytic anemia;
D O I
10.1016/j.autrev.2005.10.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 [免疫学];
摘要
Common variable immune deficiency (CVID) is associated with autoimmune and inflammatory complications in addition to recurrent infections. The most common conditions are idiopathic thrombocytopenia purpura, autoimmune hemolytic anemia, sarcoid-like granulomatous disease and gastrointestinal inflammation. IVIG administration reduces the frequency of infections, but does not always prevent autoimmunity or inflammation. TNF antagonists and anti-CD20 immunomodulators have shown some efficacy in CVID in a few patients; further controlled studies are needed to determine the best management of these conditions in the setting of immunodeficiency. (c) 2005 Elsevier B.V. All rights reserved.
引用
收藏
页码:156 / 159
页数:4
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