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Journal of Pulmonary & Respiratory Medicine最新文献

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65 Year Old Patient with Common Variable Immunodeficiency: 3 Years Followup and Development of Lung Adeno Carcinoma, is it a Coincidence? 65岁常见可变免疫缺陷患者:随访3年并发肺腺癌,是巧合吗?
Pub Date : 2015-07-27 DOI: 10.4172/2161-105X.1000277
Hasan H Yeter, D. Çağdaş
Common variable immunodeficiency(CVID) is a type of primary humoral immunodeficiency which is generally diagnosed at childhood. Recurrent sinopulmonary infections are early presentations of disease. Some of the patients are diagnosed in adulthood. In addition to frequent infections, autoimmune phenomena may occur in about 22% of patients. Most common autoimmune findings are autoimmune rombocytopenic purpura, hemolytic anemia rheumatoid arthritis and sicca syndrome. Splenomegaly, granulomatous infiltrations, lymphadenopathy may be seen in the course of the disease. Increased risk of malignancies is reported in CVID. Hodgkin lymphoma, most common, intestinal and uterine adeno carcinoma and rarely neuroendocrine tumors are reported with CVID. We report a 65 year-old woman who had diagnosed as rheumatoid artritis, Sjogren syndrome and idiopathic thrombocytopenic purpura. She wasdiagnosed as CVID at the age of 65. After IVIG therapy, rheumatologic diseases had stabile course, but she was diagnosed lung adenocarcinoma 3 year after her diagnosis.
共同性免疫缺陷(CVID)是一种原发性体液性免疫缺陷,通常在儿童时期被诊断出来。复发性肺感染是疾病的早期表现。有些患者在成年后才被诊断出来。除了频繁感染外,约22%的患者可能出现自身免疫现象。最常见的自身免疫表现为自身免疫性血小板减少性紫癜、溶血性贫血、类风湿关节炎和风干综合征。病程中可见脾肿大、肉芽肿浸润、淋巴结肿大。据报道,CVID中恶性肿瘤的风险增加。最常见的是霍奇金淋巴瘤、肠和子宫腺癌,少见的是神经内分泌肿瘤。我们报告一个65岁的妇女谁被诊断为类风湿关节炎,干燥综合征和特发性血小板减少性紫癜。她在65岁时被诊断为CVID。经IVIG治疗后,风湿病病程稳定,3年后诊断为肺腺癌。
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Journal of Pulmonary & Respiratory Medicine
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