KRALICKOVA, Pavlina, Barbora KURECOVA, Ctirad ANDRYS, Irena KRCMOVA, Dalibor JILEK, Marcela VLKOVÁ and Jiří LITZMAN. Pregnancy Outcome in Patients with Common Variable Immunodeficiency. Online. Journal of Clinical Immunology. New York: Springer New York, 2015, vol. 35, No 6, p. 531-537. ISSN 0271-9142. Available from: https://dx.doi.org/10.1007/s10875-015-0188-7. [citováno 2024-04-24]
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Basic information
Original name Pregnancy Outcome in Patients with Common Variable Immunodeficiency
Authors KRALICKOVA, Pavlina (203 Czech Republic), Barbora KURECOVA (203 Czech Republic), Ctirad ANDRYS (203 Czech Republic), Irena KRCMOVA (203 Czech Republic), Dalibor JILEK (203 Czech Republic), Marcela VLKOVÁ (203 Czech Republic, belonging to the institution) and Jiří LITZMAN (203 Czech Republic, guarantor, belonging to the institution)
Edition Journal of Clinical Immunology, New York, Springer New York, 2015, 0271-9142.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30300 3.3 Health sciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 3.094
RIV identification code RIV/00216224:14110/15:00083995
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s10875-015-0188-7
UT WoS 000361524700005
Keywords in English CVID; fertility; pregnancy; replacement therapy
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 3/11/2015 15:03.
Abstract
Purpose: The aim of our retrospective study was to clarify fertility, pregnancy complications and outcomes in common variable immunodeficiency (CVID) females. Methods: Retrospective data were obtained from three Czech referral centres. The data were compared with data obtained from the Czech National Registry of Reproduction Health. Results: Our cohort of patients comprised 54 women with 115 pregnancies; 88 pregnancies in 50 females were finished with live births (77 %). In only 8 women (15 %) was the diagnosis of CVID established before the first pregnancy. Replacement immunoglobulin therapy was performed in 10 patients without any moderate or severe adverse effects. Compared with the Czech population, the CVID patients suffered significantly more frequently from the threat of preterm labour (p < 0.0001), vaginal bleeding (p = 0.0001), eclampsia/preeclampsia (p = 0.009) and a higher number of stillbirths (p < 0.0001). Furthermore, the frequency of babies with low birth weight (less than 2500 g) born to the CVID patients was increased compared with the normal population (p < 0.0001). Serum IgG, IgA and IgM determination was done in 57 children of 50 mothers showing 13 cases of IgA deficiency (23 %). There was no significant difference among the non-symptomatic, symptomatic untreated and symptomatic treated females in any of the determined gynaecological complications. The number of unsuccessful pregnancies was higher in the symptomatic untreated women. Conclusions: Fertility in CVID patients is not decreased, and their pregnancies could be considered more risky compared with those of the general population.
Links
EE2.3.30.0009, research and development projectName: Zaměstnáním čerstvých absolventů doktorského studia k vědecké excelenci
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