Skip to main content
Erschienen in: Clinical Rheumatology 5/2004

01.10.2004 | Case Report

Autoimmune manifestations in common variable immunodeficiency

verfasst von: Stavroula Giannouli, Dimitra Anagnostou, Fotini Soliotis, Michalis Voulgarelis

Erschienen in: Clinical Rheumatology | Ausgabe 5/2004

Einloggen, um Zugang zu erhalten

Abstract

Common variable immunodeficiency (CVID) is a disorder characterized by decreased serum immunoglobulin concentrations and increased incidence of recurrent infections. Interestingly 20–25% of patients with CVID develop clinical features suggestive of an autoimmune disease. Although this association is well established, the immunodeficiency background of CVID patients manifesting autoimmune disorders is often overlooked. This study describes three CVID patients displaying a variety of autoimmune manifestations. The pathophysiologic mechanisms of autoimmunity in CVID are also reviewed.
Literatur
1.
Zurück zum Zitat Rosen FS, Cooper MD, Wedgwood RJ (1995) The primary immunodeficiencies. N Engl J Med 333:431–440 Rosen FS, Cooper MD, Wedgwood RJ (1995) The primary immunodeficiencies. N Engl J Med 333:431–440
2.
Zurück zum Zitat Cunningham-Rundles C (1989) Clinical and immunologic analyses of 103 patients with common variable immunodeficiency. J Clin Immunol 9:22–33PubMed Cunningham-Rundles C (1989) Clinical and immunologic analyses of 103 patients with common variable immunodeficiency. J Clin Immunol 9:22–33PubMed
3.
Zurück zum Zitat Howe HS, So AK, Farrant J, Webster AD (1991) Common variable immunodeficiency is associated with polymorphic markers in the human major histocompatibility complex. Clin Exp Immunol 83:387–390PubMed Howe HS, So AK, Farrant J, Webster AD (1991) Common variable immunodeficiency is associated with polymorphic markers in the human major histocompatibility complex. Clin Exp Immunol 83:387–390PubMed
4.
Zurück zum Zitat Schaffer FM, Palermos J, Zhu ZB, Barger BO, Cooper MD, Volanakis JE (1989) Individuals with IgA deficiency and common variable immunodeficiency share polymorphisms of major histocompatibility complex class III genes. Proc Natl Acad Sci U S A 86:8015–8019 Schaffer FM, Palermos J, Zhu ZB, Barger BO, Cooper MD, Volanakis JE (1989) Individuals with IgA deficiency and common variable immunodeficiency share polymorphisms of major histocompatibility complex class III genes. Proc Natl Acad Sci U S A 86:8015–8019
5.
Zurück zum Zitat Sander CA, Medeiros LJ, Weiss LM, Yauo T, Sneler MC, Jaffe ES (1992) Lymphoproliferative lesions in patients with common variable immunodeficiency syndrome. Am J Surg Pathol 16:1170–1182PubMed Sander CA, Medeiros LJ, Weiss LM, Yauo T, Sneler MC, Jaffe ES (1992) Lymphoproliferative lesions in patients with common variable immunodeficiency syndrome. Am J Surg Pathol 16:1170–1182PubMed
6.
Zurück zum Zitat Cunningham-Rundles S, Cunningham-Rundles C, Siegal FP, Gupta S, Smithwick EM, Kosloff C, et al (1981) Defective cellular immune response in vitro in common variable immunodeficiency. J Clin Immunol 1:65–72PubMed Cunningham-Rundles S, Cunningham-Rundles C, Siegal FP, Gupta S, Smithwick EM, Kosloff C, et al (1981) Defective cellular immune response in vitro in common variable immunodeficiency. J Clin Immunol 1:65–72PubMed
7.
Zurück zum Zitat Spickett GP, Farrant J (1989) The role of lymphokines in common variable hypogammaglobulinemia. Immunol Today 10:192–194CrossRefPubMed Spickett GP, Farrant J (1989) The role of lymphokines in common variable hypogammaglobulinemia. Immunol Today 10:192–194CrossRefPubMed
8.
Zurück zum Zitat Pastorelli G, Roncarolo MG, Touraine JL, Peronne G, Tovo PA, deVries JE (1989) Peripheral blood lymphocytes of patients with common variable immunodeficiency (CVI) produce reduced levels of interleukin-4, iterleukin-2, and interferon-gamma, but proliferate normally upon activation by mitogens. Clin Exp Immunol 78:334–340PubMed Pastorelli G, Roncarolo MG, Touraine JL, Peronne G, Tovo PA, deVries JE (1989) Peripheral blood lymphocytes of patients with common variable immunodeficiency (CVI) produce reduced levels of interleukin-4, iterleukin-2, and interferon-gamma, but proliferate normally upon activation by mitogens. Clin Exp Immunol 78:334–340PubMed
9.
Zurück zum Zitat Sneller MC, Strober W (1990) Abnormalities of lymphokine gene expression in patients with common variable immunodeficiency. J Immunol 144:3762–3769PubMed Sneller MC, Strober W (1990) Abnormalities of lymphokine gene expression in patients with common variable immunodeficiency. J Immunol 144:3762–3769PubMed
10.
Zurück zum Zitat North ME, Webster AD, Farrant J (1991) Defects in proliferating responses of T cells from patients with common variable immunodeficiency on direct activation of protein kinase C. Clin Exp Immunol 85:198–201PubMed North ME, Webster AD, Farrant J (1991) Defects in proliferating responses of T cells from patients with common variable immunodeficiency on direct activation of protein kinase C. Clin Exp Immunol 85:198–201PubMed
11.
Zurück zum Zitat Farrington M, Grosmaire LS, Nonoyama S, Fisher SH, Hollenbangh D, Ledbetter JA, et al (1994) CD40 ligand expression is defective in a subset of patients with common variable immunodeficiency. Proc Natl Acad Sci U S A 91:1099–1103 Farrington M, Grosmaire LS, Nonoyama S, Fisher SH, Hollenbangh D, Ledbetter JA, et al (1994) CD40 ligand expression is defective in a subset of patients with common variable immunodeficiency. Proc Natl Acad Sci U S A 91:1099–1103
12.
Zurück zum Zitat Lee AH, Levinson AI, Schumacher HR (1993) Hypogammaglobulinemia and rheumatic disease. Sem Arthritis Rheum 22:252–264 Lee AH, Levinson AI, Schumacher HR (1993) Hypogammaglobulinemia and rheumatic disease. Sem Arthritis Rheum 22:252–264
13.
Zurück zum Zitat Mechanic L J, Dikman S, Cunningham-Rundles C (1997) Granulomatous disease in common variable immunodeficiency. Ann Intern Med 127:613–617PubMed Mechanic L J, Dikman S, Cunningham-Rundles C (1997) Granulomatous disease in common variable immunodeficiency. Ann Intern Med 127:613–617PubMed
14.
Zurück zum Zitat Aukrust P, Lien E, Kristoffersen AK, Muller F, Hang CJ, Espevik T, et al (1996) Persistent activation of the tumor necrosis factor system in a subgroup of patients with common variable immunodeficiency- possible immunologic and clinical consequences. Blood 87:674–681PubMed Aukrust P, Lien E, Kristoffersen AK, Muller F, Hang CJ, Espevik T, et al (1996) Persistent activation of the tumor necrosis factor system in a subgroup of patients with common variable immunodeficiency- possible immunologic and clinical consequences. Blood 87:674–681PubMed
15.
Zurück zum Zitat Mullighan CG, Fanning GC, Chapel HM, Welsh KI (1997) TNF and lymphotoxin-alpha polymorphisms associated with common variable immunodeficiency: role in the pathogenesis of the granulomatous disease. J Immunol 159:6236–6241PubMed Mullighan CG, Fanning GC, Chapel HM, Welsh KI (1997) TNF and lymphotoxin-alpha polymorphisms associated with common variable immunodeficiency: role in the pathogenesis of the granulomatous disease. J Immunol 159:6236–6241PubMed
16.
Zurück zum Zitat Buckley RH, Schiff RI (1991) The use of intravenous immune globulin in immunodeficiency diseases. N Eng J Med 325:110–117 Buckley RH, Schiff RI (1991) The use of intravenous immune globulin in immunodeficiency diseases. N Eng J Med 325:110–117
Metadaten
Titel
Autoimmune manifestations in common variable immunodeficiency
verfasst von
Stavroula Giannouli
Dimitra Anagnostou
Fotini Soliotis
Michalis Voulgarelis
Publikationsdatum
01.10.2004
Verlag
Springer-Verlag
Erschienen in
Clinical Rheumatology / Ausgabe 5/2004
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-004-0886-7

Weitere Artikel der Ausgabe 5/2004

Clinical Rheumatology 5/2004 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.