| Autor: |
Silvia Sánchez-Ramón, Arancha Bermúdez, Luis Ignacio González-Granado, Carlos Rodríguez-Gallego, Ana Sastre, Pere Soler-Palacín, the ID-Signal Onco-Haematology Group, Luis Allende, Laia Alsina, Ana María Bielsa, Sara Calleja-Antolín, Carmen Cámara, Javier Carbone, Carmen Carreras, Ana De Andrés Martín, Angela Deyá, Cristina Díaz de Heredia, Romina Dieli-Crimi, José Luis Díez, Nerea Domínguez-Pinilla, Luis Fernández-Pereira, José Mᵃ García, Juana Gil-Herrera, Antonio Gutiérrez, Isidro Jarque, Manel Juan, Francisco Lendínez, Pilar Llobet, Mónica López, Ana López de la Guía, Marcos López-Hoyos, Andrea Martín-Nalda, Mónica Martínez, Josefa Melero, Ana Méndez-Echevarría, Pedro Moral, Olaf Neth, María Núñez, Gonzalo Ocejo-Vinyals, Juliana Ochoa-Grullón, Peter Olbrich, Raquel Oña, Manuel Pérez-Encinas, Jaime Pons, Carmen Rodríguez, Berta Sánchez, Juan Luis Santos-Pérez, Mᵃ Elena Seoane, Alexandru Vlagea |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Frontiers in Immunology, Vol 10 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1664-3224 |
| DOI: |
10.3389/fimmu.2019.00586 |
| Popis: |
Background: Immunodeficiencies (ID), in particular primary immunodeficiencies (PID), are often associated with haematological manifestations, such as peripheral cytopenias or lymphoproliferative syndromes. Early diagnosis and management have significant prognostic implications. Secondary immunodeficiencies (SID) may also be induced by oncohaematological diseases and their treatments. Haematologists and oncologists must therefore be aware of the association between blood disorders and cancer and ID, and be prepared to offer their patients appropriate treatment without delay. Our aim was to define the warning signs of primary and secondary IDs in paediatric and adult patients with oncohaematological manifestations.Methods: A multidisciplinary group of six experts (2 haematologists, 2 immunologists, and 2 paediatricians specializing in ID) conducted a literature review and prepared a document based on agreements reached an in-person meeting. An external group of 44 IDs specialists from all over Spain assessed the document and were consulted regarding their level of agreement.Results: This document identifies the haematological and extra-haematological diseases that should prompt a suspicion of PIDs in adults and children, in both primary care and haematology and oncology departments. Cytopenia and certain lymphoproliferative disorders are key diagnostic pointers. The diagnosis must be based on a detailed clinical history, physical exploration, complete blood count and standard laboratory tests. The immunological and haematological tests included in the diagnostic process will depend on the care level. Patients who are candidates for immunoglobulin replacement therapy must be carefully selected, and treatment should be offered as soon as possible to avoid the development of complications. Finally, this document recommends procedures for monitoring these patients.Conclusions: This document combines scientific evidence with the opinion of a broad panel of experts, and emphasizes the importance of an early diagnosis and treatment to avoid complications. The resulting document is a useful tool for primary care physicians and specialists who see both adult and paediatric patients with oncohaematological diseases. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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