Nguyen Jenna Thuc-Uyen, Green Ari, Wilson Michael R, DeRisi Joseph L, Gundling Katherine
Division of Allergy and Immunology, University of California, San Francisco, 400 Parnassus Ave, San Francisco, CA, 94143, USA.
Department of Neurology, University of California, San Francisco, CA, USA.
J Clin Immunol. 2016 Nov;36(8):793-800. doi: 10.1007/s10875-016-0336-8. Epub 2016 Oct 4.
Common variable immunodeficiency is a rare disorder of immunity associated with a myriad of clinical manifestations including recurrent infections, autoimmunity, and malignancy. Though rare, neurologic complications have been described in a small number of case reports and case series of CVID patients. In this article, we present a patient with CVID who suffered significant neurologic morbidity and categorize the reported range of neurologic complications associated with CVID. Our case highlights the complex nature of neurologic manifestations in CVID patients, and our review of the current database suggests that infection and inflammatory neurologic disorders are the cause of most neurologic presentations.
普通可变型免疫缺陷是一种罕见的免疫紊乱疾病,伴有多种临床表现,包括反复感染、自身免疫和恶性肿瘤。虽然罕见,但在少数关于普通可变型免疫缺陷患者的病例报告和病例系列中已描述了神经系统并发症。在本文中,我们介绍了一名患有普通可变型免疫缺陷且有严重神经系统疾病的患者,并对报道的与普通可变型免疫缺陷相关的神经系统并发症范围进行了分类。我们的病例突出了普通可变型免疫缺陷患者神经系统表现的复杂性,我们对当前数据库的回顾表明,感染和炎症性神经系统疾病是大多数神经系统表现的原因。