Preview

Russian journal of hematology and transfusiology

Advanced search

SECONDARY IMMUNE THROMBOCYTOPENIA IN THE PRIMARY IMMUNODEFICIENCY DISORDER IN ADULT HEMATOLOGICAL PRACTICE

https://doi.org/10.18821/0234-5730-2017-62-3-159-163

Abstract

Thrombocytopenia is a symptom of a wide range of hematological and non-hematological diseases, requiring extensive diagnostic search. Rapid detection of the main cause of thrombocytopenia affects the prognosis and therapeutic tactics in a number of patients with hematological diseases. One of the reasons for the development of secondary thrombocytopenia are primary immunodeficiency disorders (PID), whose debut is possible at the age of over 18 years. Diagnosis of this pathology is difficult, due to the low alertness of primary care physicians about the presence of favorably occurring primary immunodeficiencies, the first manifestation of which can be the immune thrombocytopenia revealed in an adult. This article is devoted to the report of the clinical cases of newly diagnosed PID in adulthood, debuting from autoimmune complications.

About the Authors

A. L. Melikyan
National Research Center for Hematology
Russian Federation

Moscow, 125167

Melikyan Anait Levonovna, MD, PhD, DSc., Head Department of standardization of methods therapy

ResearcherID: M-7116-2014

 



E. K. Egorova
National Research Center for Hematology, Moscow
Russian Federation
ResearcherID: G-3839-2016


M. V. Kalinina
National Research Center for Hematology, Moscow
Russian Federation


E. I. Pustovaya
National Research Center for Hematology, Moscow
Russian Federation


T. I. Kolosheynova
National Research Center for Hematology, Moscow
Russian Federation


E. A. Gilyazitdinova
National Research Center for Hematology, Moscow
Russian Federation


I. N. Subortseva
National Research Center for Hematology, Moscow
Russian Federation
ResearcherID: M-7101-2014


References

1. Melikyan A.L., Pustovaya E.I., Tsvetaeva N.V., Abdulkadyrov K.M., Lisukov I.A., Gritsaev S.V., et al. National clinical guidelines for the diagnosis and treatment of primary immune thrombocytopenia (idiopathic thrombocytopenic purpura) in adults. Hematology and Transfusiology, Russian journal (Gematologiya i transfusiologiya). 2015; 60(1): 44–56. (in Russian)

2. Stasi R. How to approach thrombocytopenia. Hematology Am. Soc Hematol. Educ. Program. 2012; 2012: 191–7.

3. Bousfiha A., Jeddane L., Al-Herz W., Ailal F., Casanova J.L., Chatila T., et al. The 2015 IUIS Phenotypic Classification for Primary Immunodeficiencies. J. Clin. Immunol. 2015; 35(8): 727–38.

4. Setdikova N.Kh., Latysheva T.V., Pinegin B.V., Ilina N.I. Immunodeficiencies: principles of diagnosis and treatment. Moscow: Farmarus Print; 2006. (in Russian).

5. Bruton O.C., Apt L., Gitlin D., Janeway C.A. Absence of serum gamma globulins. AMA Am. J. Dis. Child. 1952; 84(5): 632-6.

6. Tsukada S., Saffran D.C., Rawlings D.J., Parolini O., Allen R.C., Klisak I., et al. Deficient expression of a B cell cytoplasmic tyrosine kinase in human X-linked agammaglobulinemia. Cell. 1993; 72(2): 279–90.

7. Vetrie D., Vorechovsky I., Sideras P., Holland J., Davies A., Flinter F., et al. The gene involved in X-linked agammaglobulinaemia is a member of the src family of protein-tyrosine kinases. Nature. 1993; 361(6409): 226–33.

8. Carneiro-Sampaio M., Moraes-Vasconcelos D., Kokron C.M., Jacob C.M., Toledo-Barros M., Dorna M.B., et al. Primary immunodeficiency diseases in different age groups: a report on 1,008 cases from a single Brazilian reference center. J. Clin. Immunol. 2013; 33(4): 716–24.

9. Shcherbina A.Yu. Masks of primary immunodeficiency disorders: diagnostic and therapeutic problems. Russian Journal of Pediatric Hematology and Oncology (Rossiyskiy zhurnal detskoy gematologii i oncologii). 2016, 3(1): 52–8. (in Russian)

10. Boyle J.M., Buckley R.H. Population prevalence of diagnosed primary immunodeficiency diseases in the United States. J. Clin. Immunol. 2007; 27(5): 497–502.

11. Picard C., Al-Herz W., Bousfiha A., Casanova J.L., Chatila N., Conley M.E., et al. Primary immunodeficiency diseases: an update on the classification from the International Union of Immunological Societies Expert Committee for Primary Immunodeficiency. J. Clin. Immunol. 2015; 35(8): 696–726.

12. Kondratenko I.V. Primary immunedifficiencies. Medical Immunology. Russian journal (Meditsinskaya immunologiya). 2005; 7(5–6): 467–76. (in Russian)

13. Geha R.S., Notarangelo L.D., Casanova J.L., Chapel H., Conley M.E., Fischer A., et al. Primary immunodeficiency diseases: an update from the International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee. J. Allergy Clin. Immunol. 2007; 120(4): 776–94.

14. Oliveira J.B., Fleisher T.A. Laboratory evaluation of primary immunodeficiencies. J. Allergy Clin. Immunol. 2010; 125(2, Suppl. 2): 297–305.

15. Wanchu A., Sud A., Bambery P., Singh S., Dutta U., Varma S. Common variable immunodeficiency in adult. Indian J. Chest. Dis. Allicd. Sci. 2000; 42(3): 185–7.

16. Clark J.A., Callicoat P.A., Brenner N.A., Bradley C.A., Smith D.M.Jr. Selective IgA deficiency in blood donors. Am. J. Clin. Pathol. 1983; 80(2): 210–3.

17. Shcherbina A.Yu, Pashanov E.D., eds. Childhood Immunology. A practical guide to children’s illnesses. Moscow: MedpraktikaM; 2006. (in Russian)


Review

For citations:


Melikyan A.L., Egorova E.K., Kalinina M.V., Pustovaya E.I., Kolosheynova T.I., Gilyazitdinova E.A., Subortseva I.N. SECONDARY IMMUNE THROMBOCYTOPENIA IN THE PRIMARY IMMUNODEFICIENCY DISORDER IN ADULT HEMATOLOGICAL PRACTICE. Russian journal of hematology and transfusiology. 2017;62(3):159-163. (In Russ.) https://doi.org/10.18821/0234-5730-2017-62-3-159-163

Views: 1360


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0234-5730 (Print)
ISSN 2411-3042 (Online)