The interplay of immunity and growth: a case of combined variable immunodeficiency and growth hormone deficiency.

Autor:	Majety SK; School of Medicine, Xiamen University, Xiamen, People's Republic of China., Modh S; School of Medicine, Xiamen University, Xiamen, People's Republic of China., Mishra D; School of Medicine, Xiamen University, Xiamen, People's Republic of China., Alam N; School of Medicine, Xiamen University, Xiamen, People's Republic of China., Suvvari TK; Rangaraya Medical College, Kakinada, Andhra Pradesh, India., Pagadala CGM; Internal Medicine Resident (PGY2), Rangaraya Medical College, Kakinada, India., Muppana G; Vinnitsya National Pirgov Memorial and Medical University, Vinnitsya, Ukraine.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Sep 30; Vol. 86 (11), pp. 6859-6864. Date of Electronic Publication: 2024 Sep 30 (Print Publication: 2024).
DOI:	10.1097/MS9.0000000000002623
Abstrakt:	Introduction: Common variable immunodeficiency (CVID) is one of the more common immunodeficiencies seen in clinical practice with a complex disease pathology; while growth hormone deficiency (GHD) is a disorder characterized by complete or relative absence of the human growth hormone. Case Presentation: This case report presents a 13-year-old female patient with a long history of recurrent respiratory tract and ear infections, along with a notable failure to hit her developmental milestones early in the second decade of her life. The diagnosis was based on a thorough investigation of serum immunoglobulins for CVID and a GH stimulation test for GHD. For these, the patient was placed on a tailored regimen of IVIGs, somatropin therapy, and antibiotics for the recurrent infections. Case Discussion: CVID patients characteristically present with recurrent respiratory and ear infections, showing a marked decrease in immunity. Often diagnosed in childhood, GHD typically presents as growth failure along with developmental delays in dentition. There has been a notable rise in the coexistence of immunodeficiency syndromes and endocrinopathies studied in the past few decades. The case highlights and discusses the complex underlying pathology at play that links the two conditions to each other, while also excluding the various differentials. Conclusion: The report highlights the various challenges faced by both clinicians and patients when dealing with dual health conditions that may have a relatively nonspecific presentation. Some of which include the diagnostic difficulties, financial strains on the patient leading to poor follow-up, and in the long-term, the development of various complications. This emphasizes the importance of early disease diagnosis and strict management protocols for the said disease, for the overall betterment of the patient's quality of life. Competing Interests: The authors declare no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this articles. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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