2018
Hyper-IgE in the allergy clinic-when is it primary immunodeficiency?
PONSFORD, Mark J.; Adam KLOCPERK; Federica PULVIRENTI; Virgil A. S. H. DALM; Tomas MILOTA et al.Základní údaje
Originální název
Hyper-IgE in the allergy clinic-when is it primary immunodeficiency?
Autoři
PONSFORD, Mark J.; Adam KLOCPERK; Federica PULVIRENTI; Virgil A. S. H. DALM; Tomas MILOTA; Francesco CINETTO; Zita CHOVANCOVÁ; Manuel J. RIAL; Anna SEDIVA; Jiří LITZMAN; Carlo AGOSTINI; Martin van HAGEN; Isabella QUINTI a Stephen JOLLES
Vydání
Allergy, Hoboken, Wiley, 2018, 0105-4538
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30225 Allergy
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 6.771
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/18:00104759
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
hyper-IgE syndrome
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 10. 2. 2019 13:35, Soňa Böhmová
Anotace
V originále
The 2017 International Union of Immunological Societies (IUIS) classification recognizes 3 hyper-IgE syndromes (HIES), including the prototypic Job's syndrome (autosomal dominant STAT3-loss of function) and autosomal recessive PGM3 and SPINK5 syndromes. Early diagnosis of PID can direct life-saving or transformational interventions; however, it remains challenging owing to the rarity of these conditions. This can result in diagnostic delay and worsen prognosis. Within increasing access to "clinical-exome" testing, clinicians need to be aware of the implication and rationale for genetic testing, including the benefits and limitations of current therapies. Extreme elevation of serum IgE has been associated with a growing number of PID syndromes including the novel CARD11 and ZNF341 deficiencies. Variable elevations in IgE are associated with defects in innate, humoral, cellular and combined immunodeficiency syndromes. Barrier compromise can closely phenocopy these conditions. The aim of this article was to update readers on recent developments at this important interface between allergy and immunodeficiency, highlighting key clinical scenarios which should draw attention to possible immunodeficiency associated with extreme elevation of IgE, and outline initial laboratory assessment and management.