Primary immunodeficiency diseases

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dc.contributor.authorBuldeo, Suvarna
dc.contributor.authorSuchard, Melinda
dc.contributor.authorEsser, Monika
dc.date.accessioned2013-07-03T08:31:43Z
dc.date.available2013-07-03T08:31:43Z
dc.date.issued2012-08
dc.descriptionThe original publication is available at http://www.cmej.org.za/index.php/cmejen_ZA
dc.description.abstractPrimary immunodeficiency diseases (PIDs) are a group of disorders with defects in the development or function (or both) of the immune system. Most PIDs originate from mutations in single genes, but polygenic forms do occur.1 The global prevalence of PIDs varies between 0.3 and 12 per 100 000 population, and is higher in areas with high rates of consanguinity.2 The prevalence in South Africa is unknown, but according to prevalence data reported from the PID register,3 these diseases are either missed or not reported. The possible reasons for under-diagnosis are that patients presenting with recurrent, persistent, severe or even unusual infections are treated without investigating the underlying cause, or the diagnosis is missed in the face of the overwhelming burden of similar clinical presentations of infectious diseases such as HIV and tuberculosis. Early diagnosis is important as therapeutic options are available to treat and prevent long-term sequelae such as bronchiectasis, which will improve quality of life and decrease mortality. Basic laboratory assays to screen for PIDs are available throughout South Africa but the threshold for investigation among healthcare workers is high. This review aims to increase the clinical suspicion of PIDs in South Africa and provide an approach to the diagnosis and management.en_ZA
dc.format.extent4 p.
dc.identifier.citationBuldeo, S., Suchard, M., & Esser, M. 2012. Primary immunodeficiency diseases. Continuing Medical Education, 30(8):278-281.en_ZA
dc.identifier.issn2078-5143 (online)
dc.identifier.issn0256-2170 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/83317
dc.publisherHealth and Medical Publishing Group (HMPG)en_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectPrimary immunodeficiency diseasesen_ZA
dc.subjectPrimary immunodeficiency diseases -- Classificationen_ZA
dc.titlePrimary immunodeficiency diseasesen_ZA
dc.typeArticleen_ZA
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