Selective immunoglobulin E deficiency: an overlooked hypogammaglobulinemia and its association with rheumatoid arthritis.

IF 5.4 2区 医学 Q1 RHEUMATOLOGY
Current opinion in rheumatology Pub Date : 2026-07-01 Epub Date: 2026-02-25 DOI:10.1097/BOR.0000000000001150
Benedict K Tiong, Tamara Dahhan
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引用次数: 0

Abstract

Purpose of review: As part of current rheumatoid arthritis management, immunosuppressive treatments with disease-modifying antirheumatic drugs can potentially result in needing to manage immunodeficiency in our patient population. The purpose of this review is to evaluate one specific type of hypogammaglobulinemia, selective immunoglobulin E deficiency, and examine the association with rheumatoid arthritis.

Recent findings: In patients with hypogammaglobulinemia, there is consensus that autoimmunity is more prevalent, though there is heterogeneity among specific immunodeficiency disorders.

Summary: Given the potential for high-risk complications associated with immunosuppressive therapies in rheumatoid arthritis and other systemic autoimmune diseases, including the risk for severe infections, furthering our understanding of the association between immunodeficiency and autoimmune disease will only allow for more thorough care of these patients.

选择性免疫球蛋白E缺乏:被忽视的低γ球蛋白血症及其与类风湿关节炎的关系。
综述目的:作为当前类风湿关节炎治疗的一部分,使用改善疾病的抗风湿药物进行免疫抑制治疗可能会导致我们的患者群体需要控制免疫缺陷。本综述的目的是评估一种特殊类型的低γ球蛋白血症,选择性免疫球蛋白E缺乏症,并研究其与类风湿关节炎的关系。最近的发现:在低丙种球蛋白血症患者中,尽管在特异性免疫缺陷疾病中存在异质性,但一致认为自身免疫更为普遍。总结:鉴于类风湿关节炎和其他系统性自身免疫性疾病中免疫抑制治疗相关的高风险并发症,包括严重感染的风险,进一步了解免疫缺陷和自身免疫性疾病之间的关系将只允许对这些患者进行更彻底的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current opinion in rheumatology
Current opinion in rheumatology 医学-风湿病学
CiteScore
9.70
自引率
2.00%
发文量
89
审稿时长
6-12 weeks
期刊介绍: A high impact review journal which boasts an international readership, Current Opinion in Rheumatology offers a broad-based perspective on the most recent and exciting developments within the field of rheumatology. Published bimonthly, each issue features insightful editorials and high quality invited reviews covering two or three key disciplines which include vasculitis syndromes, medical physiology and rheumatic diseases, crystal deposition diseases and rheumatoid arthritis. Each discipline introduces world renowned guest editors to ensure the journal is at the forefront of knowledge development and delivers balanced, expert assessments of advances from the previous year.
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