[CVID (common variable immunodeficiency): heterogeneous clinical manifestation of the commonest symptomatic primary immunodeficiency disease].

H Pfluger, A Helbling, C Mordasini, W J Pichler
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Abstract

Common variable immunodeficiency is the most common symptomatic primary immunodeficiency disease. The patients typically present with a long history of respiratory tract infections, sometimes sarcoid-like lesions and in rare cases boils. Heterogeneity of initial clinical manifestations as well as insufficient knowledge of the syndrome often delay the diagnosis. However, early therapy is important to reduce infections and in particular the development of bronchiectasis. Documenting 19 cases, we discuss initial clinical manifestations, some clinical complications, diagnostic procedures and therapeutic management.

[CVID(共同可变免疫缺陷):最常见的症状性原发性免疫缺陷疾病的异质性临床表现]。
常见变异性免疫缺陷是最常见的症状性原发性免疫缺陷疾病。患者通常表现为呼吸道感染的长期病史,有时出现结节样病变,在极少数情况下出现疖子。初始临床表现的异质性以及对该综合征的认识不足往往会延误诊断。然而,早期治疗是重要的,以减少感染,特别是支气管扩张的发展。我们记录了19例病例,讨论了最初的临床表现、一些临床并发症、诊断方法和治疗管理。
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