Skip to main content

Advertisement

Log in

Primary Immunodeficiency Diseases in Egyptian Children: A Single-Center Study

  • Published:
Journal of Clinical Immunology Aims and scope Submit manuscript

Abstract

Introduction

Sixty-four primary immunodeficiency patients were registered at the Pediatric Allergy and Immunology Department, Children’s Hospital, Ain Shams University, Cairo, Egypt.

Data

Predominantly antibody deficiencies were the most common category (35.9%) followed by combined T- and B-cell immunodeficiencies (29.7%), other well defined immunodeficiency syndromes (18.7%), congenital defects of phagocyte number, function or both (12.5%), and diseases of immune dysregulation (3.1%). The most frequent disorder was common variable immunodeficiency (18.7%). The mean age at diagnosis was 29.9 months. The consanguinity rate was 62.5%. Recurrent severe infections were seen in all categories. Fifteen patients died (23.4%) from infections with the highest mortality for combined T- and B-cell immunodeficiencies (15.6%).

Conclusions

Primary immunodeficiency disorders are not rare in Egyptian children. The observed frequency of combined T- and B-cell immunodeficiencies in our cohort is relatively higher than other countries. It is a prerequisite to establish a national registry of primary immunodeficiency in Egypt.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Conley ME, Notarangelo LD, Etzioni A. Diagnostic criteria for primary immunodeficiencies. Representing PAGID (Pan-American Group for Immunodeficiency) and ESID (European Society for Immunodeficiencies). Clin Immunol. 1999;93:190–7. doi:10.1006/clim.1999.4799.

    Article  PubMed  CAS  Google Scholar 

  2. Bonilla FA, Geha RS. Primary immunodeficiency diseases. J Clin Immunol 2003;111(2):571–81. doi:10.1067/mai.2003.86.

    Article  Google Scholar 

  3. Notarangelo L, Casanova JL, Fischer A, Puck J, Rosen F, Seger R, Geha R. International Union of Immunological Societies Primary Immunodeficiency diseases classification committee. Primary immunodeficiency diseases: an update. J Allergy Clin Immunol 2004;114(3):677–87. doi:10.1016/j.jaci.2004.06.044.

    Article  PubMed  CAS  Google Scholar 

  4. Notarangelo L, Casanova JL, Conley ME, Chapel H, Fischer A, Puck J, et al. International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee. Primary immunodeficiency diseases: an update from the International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee Meeting in Budapest, 2005. J Allergy Clin Immunol. 2006;117(4):883–96. doi:10.1016/j.jaci.2005.12.1347.

    Article  PubMed  Google Scholar 

  5. Geha RS, Notarangelo L, Casanova JL, Chapel H, Conley ME, 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;120:776–94. doi:10.1016/j.jaci.2007.08.053.

    Article  PubMed  Google Scholar 

  6. Champi C. Primary immunodeficiency disorders in children: prompt diagnosis can lead to lifesaving treatment. J Pediatr Health Care 2002;16(1):16–21.

    PubMed  Google Scholar 

  7. Rosen FS, Wedgwood RJP, Eible M, Fischer A, Aiuti F, Notarangelo L, et al. Primary immunodeficiency diseases: report of a WHO scientific group. Clin Immunol 1997;109(suppl 1):S1–28.

    Google Scholar 

  8. Woroniecka M, Ballow M. Office evaluation of children with recurrent infection. Pediatr Clin North Am 2000;47(6):1211–24. doi:10.1016/S0031-3955(05)70268-6.

    Article  PubMed  CAS  Google Scholar 

  9. Hayakawa H, Iwata T, Yata J, Kobayashi N. Primary immunodeficiency syndrome in Japan. I. Overview of a nationwide survey on primary immunodeficiency syndrome. J Clin Immunol 1981;1(1):31–9. doi:10.1007/BF00915474.

    Article  PubMed  CAS  Google Scholar 

  10. Fasth A. Primary immunodeficiency disorders in Sweden: cases among children, 1974–1979. J Clin Immunol 1982;2(2):86–92. doi:10.1007/BF00916891.

    Article  PubMed  CAS  Google Scholar 

  11. Luzi G, Businco L, Aiuti F. Primary immunodeficiency syndromes in Italy: a report of the national register in children and adults. J Clin Immunol 1983;3(4):316–20. doi:10.1007/BF00915792.

    Article  PubMed  CAS  Google Scholar 

  12. Ryser O, Morell A, Hitzig WH. Primary immunodeficiencies in Switzerland: first report of the national registry in adults and children. J Clin Immunol 1988;8(6):479–85. doi:10.1007/BF00916954.

    Article  PubMed  CAS  Google Scholar 

  13. Matamoros Florí N, Mila Llambi J, Español Boren T, Raga Borja S, Fontan Casariego G. Primary immunodeficiency syndrome in Spain: first report of the National Registry in Children and Adults. J Clin Immunol 1997;17(4):333–9. doi:10.1023/A:1027382916924.

    Article  PubMed  Google Scholar 

  14. Baumgart KW, Britton WJ, Kemp A, French M, Roberton D. The spectrum of primary immunodeficiency disorders in Australia. J Allergy Clin Immunol. 1997;100(3):415–23. doi:10.1016/S0091-6749(97)70257-4.

    Article  PubMed  CAS  Google Scholar 

  15. Golan H, Dalal I, Garty B, Schlesinger M, Levy J, Handzel Z, et al. The incidence of primary immunodeficiency syndromes in Israel. IMAJ 2002;4(Suppl):S868–71.

    Google Scholar 

  16. Abuzakouk M, Feighery C. Primary immunodeficiency disorders in the Republic of Ireland: first report of the national registry in children and adults. J Clin Immunol. 2005;25(1):73–7. doi:10.1007/s10875-005-0360-9.

    Article  PubMed  CAS  Google Scholar 

  17. Leiva LE, Zelazco M, Oleastro M, Carneiro-Sampaio M, Condino-Neto A, Costa-Carvalho BT, et al. Primary immunodeficiency diseases in Latin America: the second report of the LAGID registry. J Clin Immunol. 2007;27(1):101–8. doi:10.1007/s10875-006-9052-0.

    Article  PubMed  Google Scholar 

  18. Aghamohammadi A, Moin M, Farhoudi A, Pourpak Z, Rezaei N, Abolmaali K, et al. The spectrum of primary immunodeficiency disorders in Iran. Acta Med Iran. 2002;40(3):165–70.

    Google Scholar 

  19. Rezaei N, Aghamohammadi A, Moin M, Pourpak Z, Movahedi M, Gharagozlou M, et al. Frequency and clinical manifestations of patients with primary immunodeficiency disorders in Iran: update from the Iranian primary immunodeficiency registry. J Clin Immunol. 2006;26(6):519–32. doi:10.1007/s10875-006-9047-x.

    Article  PubMed  Google Scholar 

  20. Al-Herz W. Primary immunodeficiency disorders in Kuwait: first report from Kuwait national primary immunodeficiency registry. J Clin Immunol. 2008;28:186–93. doi:10.1007/s10875-007-9144-5.

    Article  PubMed  Google Scholar 

  21. Kirkpatrick P, Riminton S. Primary immunodeficiency diseases in Australia and New Zealand. J Clin Immunol. 2007;27(5):517–24. doi:10.1007/s10875-007-9105-z.

    Article  PubMed  CAS  Google Scholar 

  22. European Society for Immunodeficiency (ESID) Online Database Network for Primary Immunodeficiencies. www.esid.org. Cited on August 1st, 2008.

  23. Jeffery Model Foundation 2003. Available at: http://npi.jmfmworld.org. Cited on January 5th, 2004.

  24. Cunningham-Rundles C, Sidi P, Estrella L, Doucette J. Identifying undiagnosed primary immunodeficiency diseases in minority subjects by using computer sorting of diagnosis codes. J Allergy Clin Immunol 2004;117:S747–55.

    Article  Google Scholar 

  25. Grumach AS, Duarte AJ, Bellinati-Pires R, Pastorino AC, Jacob CM, Diogo CL, Condino-Neto A, Kirschfink M, Carneiro-Sampaio MM. Brazilian report on primary immunodeficiencies in children: 166 cases studied over a follow-up time of 15 years. J Clin Immunol 1997;17(4):340–5. doi:10.1023/A:1027335000994.

    Article  PubMed  CAS  Google Scholar 

  26. Lim DL, Thong BY, Ho SY, Shek LPC, Lou J, Leong KP, et al. Primary immunodeficiency diseases in Singapore—the last 11 years. Singapore Med J. 2003;44(11):579–86.

    PubMed  CAS  Google Scholar 

  27. Al-Attas RA, Rahi AH. Primary antibody deficiency in Arabs: first report from eastern Saudi Arabia. J Clin Immunol. 1998;18(5):368–71. doi:10.1023/A:1023247117133.

    Article  PubMed  CAS  Google Scholar 

  28. Alaki MOA. Spectrum of primary immunodeficiency disorders: Single center experience in Capital city of Saudi Arabia. J Allergy Clin Immunol 2008;121(Suppl 2):S170. doi:10.1016/j.jaci.2007.12.624.

    Article  Google Scholar 

  29. Bejaoui M, Barbouche MR, Sassi A, Larguche B, Miladi N, Bouguerrra A, Dellagi K. Primary immunodeficiency in Tunisia: study of 152 cases. Arch Pediatr. 1997;4(9):827–31. doi:10.1016/S0929-693X(97)88145-6.

    Article  PubMed  CAS  Google Scholar 

  30. Farhoudi A, Aghamohammadi A, Moin M, Rezaei N, Pourpak Z, Movahedi M, et al. Distribution of primary immunodeficiency disorders diagnosed in the Children’s Medical Center in Iran. J Investig Allergol Clin Immunol. 2005;15(3):177–82.

    PubMed  CAS  Google Scholar 

  31. Moin M, Aghamohammadi A, Kouhi A, Tavassoli S, Rezaei N, Ghaffari SR, et al. Ataxia-Telangiectasia in Iran: clinical and laboratory features of 104 patients. Pediatr Neurol. 2007;37(1):21–8. doi:10.1016/j.pediatrneurol.2007.03.002.

    Article  PubMed  Google Scholar 

  32. Shabestari MS, Maljaei SH, Baradaran R, Barzegar M, Hashmi F, Mesri A, Rezaei N. Distribution of primary immunodeficiency diseases in the Turk ethnic group, living in the northwestern Iran. J Clin Immunol. 2007;27(5):510–6. doi:10.1007/s10875-007-9101-3.

    Article  PubMed  Google Scholar 

  33. Rezaei N, Pourpak Z, Aghamohammadi A, Farhoudi A, Movahedi M, Gharagozlou M, et al. Consanguinity in primary immunodeficiency disorders; the report from Iranian Primary Immunodeficiency Registry. Am J Reprod Immunol. 2006;56(2):145–51. doi:10.1111/j.1600-0897.2006.00409.x.

    Article  PubMed  Google Scholar 

  34. Buckley R. Primary cellular immunodeficiencies. J Allergy Clin Immunol. 2002;109(5):747–57. doi:10.1067/mai.2002.123617.

    Article  PubMed  CAS  Google Scholar 

  35. Renner E, Puck J, Holland S, Schmitt M, Weiss M, Frosch M, et al. Autosomal recessive hyperimmunoglobulin E syndrome: a distinct disease entity. J Pediatr. 2004;114:93–9. doi:10.1016/S0022-3476(03)00449-9.

    Google Scholar 

  36. Grimbacher B, Holland SM, Gallin JI, Greenberg F, Hill SC, Malech HL, et al. Hyper-IgE syndrome with recurrent infections—an autosomal dominant multisystem disorder. N Engl J Med. 1999;340:692–702. doi:10.1056/NEJM199903043400904.

    Article  PubMed  CAS  Google Scholar 

  37. Cunningham-Rundles C, Bodian C. Common variable immunodeficiency: clinical and immunological features of 248 patients. Clin Immunol. 1999;92:34–48. doi:10.1006/clim.1999.4725.

    Article  PubMed  CAS  Google Scholar 

  38. Ballow M. Primary immunodeficiency disorders: antibody deficiency. J Allergy Clin Immunol. 2002;109(4):581–91. doi:10.1067/mai.2002.122466.

    Article  PubMed  CAS  Google Scholar 

  39. Yarmohammadi H, Estrella L, Doucette J, Cunningham-Rundles C. Recognizing primary immune deficiency in clinical practice. Clin Vaccine Immunol. 2006;13(3):329–32. doi:10.1128/CVI.13.3.329-332.2006.

    Article  PubMed  CAS  Google Scholar 

  40. Aloi F, Mishra S, MacGinnitei A. Guidelines for “10 warning signs of primary immunodeficiency” neither sensitive nor specific. J Allergy Clin Immunol 2007;119(1):S14. Abstr doi:10.1016/j.jaci.2006.11.070.

    Article  Google Scholar 

  41. Spaggnola C, Kaplan M, Cac N, Goldberg B, Cunningham-Rundles C. Identifying primary immunodeficiency patients in a managed care population using diagnosis codes. J Allergy Clin Immunol 2008;121(2):S636. Abstr doi:10.1016/j.jaci.2007.12.610.

    Article  Google Scholar 

  42. Eadas-Perner AM, Gathmann B, Kerr V, Guzman D, Veit D, Kindle G, Grimbacher B. The European internet-based patient and research data-base for primary immunodeficiencies: results 2004–06. Clin Exp Immunol 2007;147:306–12.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shereen M. Reda.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reda, S.M., Afifi, H.M. & Amine, M.M. Primary Immunodeficiency Diseases in Egyptian Children: A Single-Center Study. J Clin Immunol 29, 343–351 (2009). https://doi.org/10.1007/s10875-008-9260-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10875-008-9260-x

Keywords

Navigation