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• W2615419412 abstract "Bronchiectasis is found in approximately one fourth of patients with common variable immune deficiency, with 14% in 1 study having bronchiectasis at the time of diagnosis, [1] Oksenhendler E. Gerard L. Fieschi C. et al. Infections in 252 patients with common variable immunodeficiency. Clin Infect Dis. 2008; 46: 1547-1554 Crossref PubMed Scopus (329) Google Scholar and lower respiratory tract symptoms are associated with a lower quality of life and require increased immunoglobulin (Ig) usage. 2 Gathmann B. Mahlaoui N. Ceredih et al. Clinical picture and treatment of 2212 patients with common variable immunodeficiency. J Allergy Clin Immunol. 2014; 134: 116-126 Abstract Full Text Full Text PDF PubMed Scopus (402) Google Scholar , 3 Resnick E.S. Moshier E.L. Godbold J.H. Cunningham-Rundles C. Morbidity and mortality in common variable immune deficiency over 4 decades. Blood. 2012; 119: 1650-1657 Crossref PubMed Scopus (521) Google Scholar Additional primary immune deficiencies also are associated with a high rate of bronchiectasis, including IgA deficiency, IgG subclass deficiency, and specific antibody deficiency against polysaccharide antigen despite normal levels of quantitative immunoglobulins. 4 Stead A. Douglas J.G. Broadfoot C.J. Kaminski E.R. Herriot R. Humoral immunity and bronchiectasis. Clin Exp Immunol. 2002; 130: 325-330 Crossref PubMed Scopus (50) Google Scholar , 5 Tabatabaie P. Aghamohammadi A. Mamishi S. et al. Evaluation of humoral immune function in patients with bronchiectasis. Iran J Allergy Asthma Immunol. 2008; 7: 69-77 PubMed Google Scholar Thus, the development of bronchiectasis with immune deficiency is well described. Nevertheless, despite case reports and small series, little is known about the potential overall frequency of hypogammaglobulinemia in patients with bronchiectasis. We also were interested in examining the incidence of overall hypogammaglobulinemia because historically hypogammaglobulinemia has been described to complicate severe pulmonary diseases, such as cystic fibrosis (CF), post-lung transplantation, and advanced chronic obstructive pulmonary disease. 6 O'Keeffe S. Gzel A. Drury R. Cullina M. Greally J. Finnegan P. Immunoglobulin G subclasses and spirometry in patients with chronic obstructive pulmonary disease. Eur Respir J. 1991; 4: 932-936 PubMed Google Scholar , 7 Ohsumi A. Chen F. Yamada T. et al. Effect of hypogammaglobulinemia after lung transplantation: a single-institution study. Eur J Cardiothorac Surg. 2014; 45: e61-e67 Crossref PubMed Scopus (15) Google Scholar , 8 Matthews Jr., W.J. Williams M. Oliphint B. Geha R. Colten H.R. Hypogammaglobulinemia in patients with cystic fibrosis. N Engl J Med. 1980; 302: 245-249 Crossref PubMed Scopus (92) Google Scholar In these settings, hypogammaglobulinemia has been associated with poor outcomes. 7 Ohsumi A. Chen F. Yamada T. et al. Effect of hypogammaglobulinemia after lung transplantation: a single-institution study. Eur J Cardiothorac Surg. 2014; 45: e61-e67 Crossref PubMed Scopus (15) Google Scholar , 8 Matthews Jr., W.J. Williams M. Oliphint B. Geha R. Colten H.R. Hypogammaglobulinemia in patients with cystic fibrosis. N Engl J Med. 1980; 302: 245-249 Crossref PubMed Scopus (92) Google Scholar The purpose of this study was to define the frequency of untreated hypogammaglobulinemia in a large bronchiectasis cohort. The diagnostic delay from development of symptoms to diagnosis for common variable immune deficiency is 6 to 8 years, and we hypothesized that some patients with bronchiectasis might have hypogammaglobulinemia, a cardinal sign of immune deficiency." @default.
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• W2615419412 date "2017-07-01" @default.
• W2615419412 modified "2023-10-02" @default.
• W2615419412 title "Frequency of untreated hypogammaglobulinemia in bronchiectasis" @default.
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• W2615419412 doi "https://doi.org/10.1016/j.anai.2017.04.020" @default.
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