Primary Immunodeficiency in Iran: First Report of the National Registry of PID in Children and Adults

Springer Science and Business Media LLC - Tập 22 - Trang 375-380 - 2002
Asghar Aghamohammadi1, Mosafa Moein1, Abolhasan Farhoudi1, Zahra Pourpak1, Nima Rezaei1, Kamran Abolmaali1, Masoud Movahedi1, Mohammad Gharagozlou1, Bahram Mir Saeid Ghazi1, Maryam Mahmoudi1, Davoud Mansouri2, Saba Arshi3, Naser Javaher Trash3, Hedayatallah Akbari4, Roya Sherkat4, Reza Farid Hosayni5, Ahmad Hashemzadeh5, Iraj Mohammadzadeh6, Reza Amin7, Sara Kashef7, Abdalvahab Alborzi8, Abdallah Karimi8, Hosaynali Khazaei9
1Department of Clinical Pediatric Immunology, Children’s Medical Center. Tehran, University of Medical Sciences, Tehran, Iran
2Department of Infectious Disease, Masih Daneshvari Hospital. Beheshti, University of Medical Sciences, Tehran, Iran
3Department of Immunology and Allergy, Al-rasoul Hospital, University of Medical Sciences, Tehran, Iran, Iran
4Department of Clinical Pediatric Immunology, Al-Zahara Hospital. Isfahan, University of Medical Sciences, Isfahan, Iran
5Department of Immunology and Allergy, Mashhad University of Medical Sciences, Mashhad, Iran
6Department of Clinical Pediatric Immunology, Babol, University of Medical Sciences, Babol, Iran
7Department of Immunology and Allergy, Nemazi Hospital, Shiraz, University of Medical Sciences, Shiraz, Iran
8Department of Pediatric Infectious Diseases, Nemazi hospital, Shiraz, University of Medical Sciences, Shiraz, Iran
9Department of Immunology, Zahedan, University of Medical Sciences, Zahedan, Iran

Tóm tắt

Epidemiological studies have shown wide geographical and racial variation in the prevalence and patterns of immunodeficiency disorders. To determine the frequency of primary immunodeficiencies (PID) in Iran, the Iranian Primary Immunodeficiency Registry (IPIDR) was organized in 1999. We extracted the patient’s data, by using a uniform questionnaire from their hospital records. The diagnosis of patients was based on WHO criteria. By now, 440 patients with PID, who were observed during a period of 20 years, have been registered in our registry. Among these patients, the following frequencies were found: predominantly antibody deficiency in 45.9% of patients (n = 202), phagocytic disorders in 29.09% (n = 128), T-cell disorders in 24.31% (n = 107), and complement deficiencies in 0.68% (n = 3). Common variable immunodeficiency was the most frequent disorder (n = 98), followed by chronic granulomatous disease (n = 86), ataxia telangiectasia (n = 48), x-linked agammaglobulinemia (n = 45), selective IgA deficiency (n = 42), combined immunodeficiency (n = 15), and severe combined immunodeficiency (n = 14). This study revealed that antibody deficiencies is the most frequently diagnosed primary immunodeficiency disorder in our patients, which is similar to that observed in other registries. A comparative study shows some differences between our results and other registries.

Tài liệu tham khảo

Bruton OC: Agammaglobulinemia. Pediatrics 9:722–728, 1952 Rosen FS, Ralph JP, Eibl M, et al.: Primary immunodeficiency disease; Report of a WHO scientific group. J Clin Exp Immunol suppl 1:1–28, 1997 Conley ME, Stiehm ER: Immunologic disorders in infants and children: General considerations. In Immunodeficiency Disorders, ER Stiehm (eds). Philadelphia, WB Saunders, 1996, pp 201–252 Stiehm ER, Chin TW, Hass A, et al.: Infectious complications of primary immunodeficiencies. Clin Immunol Immunopathol 40:69–86, 1986 Webster ABD: Infection in primary immunodeficiency syndrome. Curr Opin Infect Dis 7:444–449, 1994 Hermaszewski RA, Webster ABD. Primary hypogammaglobulinaemia: a survey of clinical manifestations and complications. Q J Med 86:31–42, 1993 Aghamohammadi A, Strobel S, Novelli V, Holzel H, Morgan J: A single center retrospective 5-year survey of infectious complication in 85 children with combined immunodeficiency. Acta Med Iranica 34 (1,2):7–13, 1996 Hayakawa H, Iwata T, Yata J, Kobayashi N: Primary immunode-ficiency syndromes in Japan. Overview of a nationwide survey on primary immunodeficiency syndromes. J Clin Immunol 1:31–39, 1981 Luzi G, Businco L, Aiuti F: Primary immunodeficiency syndromes in Italy: A report of the national registry in children and adults. J Clin Immunol 3(4):316–320, 1983 Hayakawa H, Kobayashi N, Yata J: Primary immunodeficiency diseases and malignancy in Japan. Jpn J Cancer Res 77(1):74–79, 1986 Ryser O, Morell A, Hitzig WH.J: Primary immunodeficiencies in Switzerland: First report of the national registry in adults and children. J Clin Immunol 8(6):479–485, 1988 Luzi G, Pesce AM, Rinaldi S: Primary immunodeficiencies in Italy. Data revised from the Italian Register of Immunodeficiencies-IRID (1977‐88). Allergol Immunopathol (Madr) 19(2):53–57, 1991 Gomez L, Yartsev M: Primary immunodeficiencies in the USSR: Update of a nine-year study. Dis Markers 10(1):19–25, 1992 Gooi HC: Primary immunodeficiency registry, United Kingdom: Immunodeficiency 4(1‐4):191–192, 1993 Affentranger P, Morell A, Spath P, Seger R: Registry of primary immunodeficiencies in Switzerland. Immunodeficiency 4(1‐4): 193–195, 1993 Grumach AS, Duarte AJ, Bellinati-Pires R, et al.: Brazilian report on primary immunodeficiencies in children: 166 cases studied over a follow-up time of 15 years. J Clin Immunol 17(4):340–345, 1997 Matamoros Flori N, Mila Llambi J, Espanol Boren T, Raga Borja S, Fontan Casariego G: Primary immunodeficiency syndrome in Spain: First report of the National Registry in Children and Adults. J Clin Immunol 17(4):333–339, 1997 Zelazko M, Carneiro-Sampaio M, Cornejo de Luigi M, et al.: Primary immunodeficiency diseases in Latin America: First report from eight countries participating in the LAGID. Latin American Group for Primary Immunodeficiency Diseases. J Clin Immunol 18(2):161–166, 1998 Ersoy F, Berkel AI: Clinical and immunologic studies in 20 families with ataxia telangiectasia. Turk J Pediatr 16:145–160, 1974