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SM ISO690:2012 TOMACINSCHI, Cristina. Respiratory manifestations – diagnostic bridge in primary immunodeficiencies. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 394. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 394-394 | ||||||
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Background. Respiratory diseases are common among patients with primary immunodeficiencies (PIDs) being most often the first sign of address to the doctor. Due to the large surface area of the respiratory system, respiratory manifestations can be varied making up the first cause of morbidity in PIDs, detection and management of these are critical for optimal management. Objective of the study. To evaluate the respiratory manifestations of PIDs pediatric patients. Material and Methods. Were evaluated 14 children with PID and bronchopulmonary impairment (6 – humoral PID, 7 – combined PID, 1 – cellular PID). They were assessed by determining serum IgA, IgM, IgG, IgE, lymphocyte immunophenotyping, pulmonary Rx and CT, Rx and CT of the sinuses, bacteriology, and microscopy of pharyngeal exudate and sputum, ENT consult. Results. The first reason for addressing were respiratory infections in all patients. However, before or after the diagnosis was established, 38.4% of the group had chronic sinusitis (80%-humoral PID, 20%-combined PID) and suppurated otitis media (50% of patients with PAD). The cause of frequent hospitalization was pneumonia, often complicated with atelectasis (3 patients), empyema (2 children with PAD and 1 child with combined PID) and destructive pneumonia (2 patients). Frequent respiratory infections have led to the formation of chronic complications such as bronchiectasis (in 3 patients with PAD and 1 with combined PID), fibroatelectasis and bronchial deformities (66.67%:95% CI, 22.28-95.67). Conclusion. Early identification of manifestations is a basic thing in primary immunodeficiencies. Early initiation of substitution treatment can ensure a better quality of life by reducing the number of infections and delaying complications. |
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Cuvinte-cheie immunodeficiency, children, infections, pneumonia, imunodeficienţe, copii, infecţii, pneumonie |
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