Buckley Rebecca H
Duke University School of Medicine, Durham, NC 27710, USA.
J Allergy Clin Immunol. 2006 Apr;117(4):756-8. doi: 10.1016/j.jaci.2006.01.008. Epub 2006 Mar 9.
Making a correct diagnosis of a primary immunodeficiency disease is crucial for the selection of proper therapy. Although many cases go undiagnosed, there are also many instances of incorrect diagnosis that result in years of inappropriate treatment and failure to implement beneficial treatment. This article summarizes 2 actual cases in which incorrect diagnoses led to recommendations of unwarranted high-risk or costly treatments. Had the physicians chosen tests of immune function rather than relying on immunoglobulin levels or cell counts, they would have arrived at the true diagnoses.
正确诊断原发性免疫缺陷病对于选择恰当的治疗方法至关重要。尽管许多病例未被诊断出来，但也有许多误诊的情况，导致多年不恰当的治疗以及未能实施有益的治疗。本文总结了2个实际病例，其中误诊导致了不必要的高风险或昂贵治疗建议。如果医生选择进行免疫功能检测，而不是依赖免疫球蛋白水平或细胞计数，他们就能得出正确的诊断。
