دورية أكاديمية

Eight years of follow-up experience in children with mendelian susceptibility to mycobacterial disease and review of the literature

التفاصيل البيبلوغرافية
العنوان: Eight years of follow-up experience in children with mendelian susceptibility to mycobacterial disease and review of the literature
المؤلفون: Karaca, N., Azarsiz, E., Karaca, E., Aksu, G., Genel, F., Gulez, N., Ozen, S.
بيانات النشر: Allergy and Immunology Society of Thailand
سنة النشر: 2023
المجموعة: Ege University Institutional Repository
مصطلحات موضوعية: consanguinity, BCG vaccine, IL12Rβ1 deficiency, mendelian susceptibility to mycobacterial disease, primary immunodeficiency, antibiotic agent, gamma interferon receptor, gamma interferon receptor 1, I kappa B kinase gamma, interleukin 12 receptor beta1, protein gamma interferon receptor 2, recombinant gamma interferon, STAT1 protein, tuberculostatic agent, unclassified drug, Article, cellular parameters, child, clinical article, clinical feature, early diagnosis, family history, female, follow up, gene mutation, genetic analysis, human, immune deficiency, infant, infection sensitivity
الوصف: Background: Mendelian susceptibility to mycobacterial disease (MSMD) is a rare primary immunodeficiency, caused by non-tuberculous mycobacteria or Bacillus Calmette-Guerin (BCG) vaccine and characterized by severe diseases in childhood. Objective: In this study, we examined eight years followed-up 12 Turkish children with genetically proven MSMD and we tried to evaluate the survival rate with succesfull disease management, rate of consanguinity, molecular, cellular and clinical features of patients. In addition, we wanted to emphasize the importance of early diagnosis before administration of BCG vaccine in countries where this vaccine is routinely used. Methods: Twelve patients diagnosed with molecular studies [IFNγR1 complete (n = 1), IFNγR2 partial (n = 3), IL12Rβ1 (n = 6), NEMO (n = 1), STAT1 mutation (n = 1)] were included. Results: Ten patients (83%) were born from consanguineous parents and frequency of family history for the primary immunodeficiency was 58% (n = 7). All the cases had been immunized with BCG vaccine (Mycobacterium bovis) due to lack of early diagnosis. Two patients had BCG-itis and four patients had “BCG-osis”. Survival rate was 75% after successful disease management with antibiotics, anti-tuberculous agents and recombinant IFN-γ. Conclusion: It was concluded that MSMD must be differentiated from different forms of primary immunodeficiencies, so clinicians should be aware of MSMD especially in patients with BCG vaccine complications and non-tuberculous mycobacterial infection. © 2023, Allergy and Immunology Society of Thailand. All rights reserved. ; Jeffrey Modell Foundation, JMF
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 0125-877X
العلاقة: Asian Pacific Journal of Allergy and Immunology; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://hdl.handle.net/11454/93140Test; https://doi.org/10.12932/ap-271219-0726Test; 41; 372; 378
DOI: 10.12932/ap-271219-0726
الإتاحة: https://doi.org/10.12932/ap-271219-0726Test
https://hdl.handle.net/11454/93140Test
حقوق: open
رقم الانضمام: edsbas.9DA2D335
قاعدة البيانات: BASE
الوصف
تدمد:0125877X
DOI:10.12932/ap-271219-0726