J 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

EID Scopus

Klíčová slova anglicky

hyper-IgE syndrome

Štítky

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.