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一名患有LRBA缺乏症的青少年出现严重糖尿病酮症酸中毒、自身免疫性胰腺炎并伴有全身炎症反应综合征——一种常见原发性免疫缺陷病的罕见并发症。

Severe diabetic ketoacidosis and autoimmune pancreatitis with SIRS in an adolescent with LRBA deficiency - A rare complication of a common primary immunodeficiency disease.

作者信息

Ravindran Divya, Mugunthan Rajavel Sagul Ramanuja, Shruthi Tarikere Krishnamurthy, Jayaraman Dhaarani

机构信息

Department of Paediatrics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Reasearch (SRIHER), Porur, Chennai, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2022 Apr;11(4):1552-1554. doi: 10.4103/jfmpc.jfmpc_1220_21. Epub 2022 Mar 18.

DOI:10.4103/jfmpc.jfmpc_1220_21
PMID:35516664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9067192/
Abstract

Common variable immunodeficiency is the most common primary immunodeficiency disorder. Lipopolysaccharide (LPS)-responsive beige-like anchor protein (LRBA) deficiency is categorized as a common variable immunodeficiency associated with autoimmune manifestations and inflammatory bowel diseases. We report a rare case, an adolescent presenting with severe diabetic ketoacidosis (DKA) and acute pancreatitis with multiorgan dysfunction with common variable immunodeficiency (CVID) with homozygous mutation.

摘要

普通可变免疫缺陷是最常见的原发性免疫缺陷病。脂多糖(LPS)反应性米色样锚定蛋白(LRBA)缺乏症被归类为与自身免疫表现和炎症性肠病相关的普通可变免疫缺陷。我们报告了一例罕见病例,一名青少年患有严重糖尿病酮症酸中毒(DKA)和急性胰腺炎,伴有多器官功能障碍,患有纯合突变的普通可变免疫缺陷(CVID)。

相似文献

1
Severe diabetic ketoacidosis and autoimmune pancreatitis with SIRS in an adolescent with LRBA deficiency - A rare complication of a common primary immunodeficiency disease.一名患有LRBA缺乏症的青少年出现严重糖尿病酮症酸中毒、自身免疫性胰腺炎并伴有全身炎症反应综合征——一种常见原发性免疫缺陷病的罕见并发症。
J Family Med Prim Care. 2022 Apr;11(4):1552-1554. doi: 10.4103/jfmpc.jfmpc_1220_21. Epub 2022 Mar 18.
2
Acute Cervical Longitudinally Extensive Transverse Myelitis in a Child With Lipopolysaccharide-Responsive-Beige-Like-Anchor-Protein (LRBA) Deficiency: A New Complication of a Rare Disease.一名患有脂多糖反应性米色样锚定蛋白(LRBA)缺乏症儿童的急性颈段纵向广泛横贯性脊髓炎:一种罕见疾病的新并发症。
Front Pediatr. 2020 Oct 16;8:580963. doi: 10.3389/fped.2020.580963. eCollection 2020.
3
Atypical Manifestation of LPS-Responsive Beige-Like Anchor Deficiency Syndrome as an Autoimmune Endocrine Disorder without Enteropathy and Immunodeficiency.脂多糖反应性米色样锚定蛋白缺乏综合征的非典型表现:一种无肠病和免疫缺陷的自身免疫性内分泌疾病
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The profile of IL-4, IL-5, IL-10 and GATA3 in patients with LRBA deficiency and CVID with no known monogenic disease: Association with disease severity.LRBA 缺陷和无已知单基因疾病的常见变异型免疫缺陷患者中白细胞介素-4、白细胞介素-5、白细胞介素-10 和 GATA3 的概况:与疾病严重程度的关联
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Evaluation of Expression of LRBA and CTLA-4 Proteins in Common Variable Immunodeficiency Patients.评估 LRBA 和 CTLA-4 蛋白在普通变异性免疫缺陷患者中的表达。
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Uniparental Disomy of Chromosome 4: A Case of Whole Chromosome UPD Presenting with LRBA Deficiency.单亲二体性 4 号染色体:一例伴有 LRBA 缺陷的整条染色体 UPD 病例。
J Clin Immunol. 2024 Sep 18;45(1):10. doi: 10.1007/s10875-024-01803-9.
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The extended phenotype of LPS-responsive beige-like anchor protein (LRBA) deficiency.LPS 反应性米色样锚蛋白(LRBA)缺乏症的扩展表型。
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Polyautoimmunity in Patients with LPS-Responsive Beige-Like Anchor (LRBA) Deficiency.LPS反应性米色样锚定蛋白(LRBA)缺乏患者的多自身免疫性。
Immunol Invest. 2018 Jul;47(5):457-467. doi: 10.1080/08820139.2018.1446978. Epub 2018 Mar 12.

本文引用的文献

1
Global Distribution of Common Variable Immunodeficiency (CVID) in the Light of the UNDP Human Development Index (HDI): A Preliminary Perspective of a Rare Disease.全球常见可变免疫缺陷症(CVID)的分布与联合国开发计划署人类发展指数(HDI)的关系:罕见病的初步观察。
J Immunol Res. 2020 Sep 1;2020:8416124. doi: 10.1155/2020/8416124. eCollection 2020.
2
Non-infectious Complications of Common Variable Immunodeficiency: Updated Clinical Spectrum, Sequelae, and Insights to Pathogenesis.常见可变免疫缺陷的非传染性并发症:更新的临床谱、后遗症和发病机制的见解。
Front Immunol. 2020 Feb 7;11:149. doi: 10.3389/fimmu.2020.00149. eCollection 2020.
3
The European Society for Immunodeficiencies (ESID) Registry Working Definitions for the Clinical Diagnosis of Inborn Errors of Immunity.欧洲免疫缺陷学会(ESID)用于免疫固有性疾病临床诊断的注册工作定义。
J Allergy Clin Immunol Pract. 2019 Jul-Aug;7(6):1763-1770. doi: 10.1016/j.jaip.2019.02.004. Epub 2019 Feb 15.
4
Common Variable Immunodeficiency: Epidemiology, Pathogenesis, Clinical Manifestations, Diagnosis, Classification, and Management.普通变异性免疫缺陷病:流行病学、发病机制、临床表现、诊断、分类和管理。
J Investig Allergol Clin Immunol. 2020;30(1):14-34. doi: 10.18176/jiaci.0388. Epub 2019 Feb 11.
5
International Union of Immunological Societies: 2017 Primary Immunodeficiency Diseases Committee Report on Inborn Errors of Immunity.国际免疫学联合会:2017 年原发性免疫缺陷疾病委员会关于免疫先天错误的报告。
J Clin Immunol. 2018 Jan;38(1):96-128. doi: 10.1007/s10875-017-0464-9. Epub 2017 Dec 11.
6
Patients with common variable immunodeficiency paradoxically have increased rates of autoimmune disorders.普通可变免疫缺陷患者自相矛盾地出现自身免疫性疾病发生率增加的情况。
BMJ Case Rep. 2017 Oct 13;2017:bcr-2017-221657. doi: 10.1136/bcr-2017-221657.
7
Autoimmunity in Primary Antibody Deficiencies.原发性抗体缺陷中的自身免疫
Int Arch Allergy Immunol. 2016;171(3-4):180-193. doi: 10.1159/000453263. Epub 2016 Dec 24.
8
Spectrum of Phenotypes Associated with Mutations in LRBA.与LRBA基因突变相关的表型谱
J Clin Immunol. 2016 Jan;36(1):33-45. doi: 10.1007/s10875-015-0224-7. Epub 2015 Dec 28.
9
International Consensus Document (ICON): Common Variable Immunodeficiency Disorders.国际共识文件(ICON):常见变异型免疫缺陷病
J Allergy Clin Immunol Pract. 2016 Jan-Feb;4(1):38-59. doi: 10.1016/j.jaip.2015.07.025. Epub 2015 Nov 7.
10
Autoimmune manifestations in primary immune deficiencies.原发性免疫缺陷中的自身免疫表现。
Autoimmun Rev. 2009 Feb;8(4):332-6. doi: 10.1016/j.autrev.2008.11.004. Epub 2008 Nov 24.