Severe Combined Immunodeficiency: Otolaryngological Presentation and Management

Autor: Sheila Kun, Erin Simms, Joseph A. Church, Rose Mary S. Stocks, Jerome W. Thompson
Rok vydání: 1999
Předmět:
Zdroj: Annals of Otology, Rhinology & Laryngology. 108:403-407
ISSN: 1943-572X
0003-4894
DOI: 10.1177/000348949910800415
Popis: In order to increase the awareness of otolaryngologists of severe combined immunodeficiency syndrome (SCIDS) so they may contribute to an earlier diagnosis of this disorder, we performed a retrospective chart review of a multicenter series from 2 children's hospital medical centers. Eighteen cases were identified, and 14 had an otolaryngological presentation. The average age of presentation was 3.3 months, and 72% were males. Most cases were inherited in an X-linked fashion. Five patients had thrush; 4 had recurrent otitis media. Other otolaryngological presentations included cough, mouth ulcers, pharyngitis, mastoiditis, and bilateral neck abscess. The most severe form of immunodeficiency, SCIDS is a rare condition that involves a disorder in both T and B cell functions. The manifestations involving the head and neck include recurrent upper respiratory tract infections, otitis media, thrush, oral ulcers, and abscesses. It is important that SCIDS be considered in any infant with recurrences of these common infections.
Databáze: OpenAIRE