How to investigate a suspected immune deficiency in adults.

Abstract:

:Patients with immune deficiencies can present with variable clinical phenotypes. This often translates into a significant delay in their diagnosis, and resultant patient morbidity. This review summarises the most common types of immunodeficiency disorders, primary and secondary, along with their key features. It provides a structured approach for the clinician on when to suspect an immunodeficiency, the initial investigations pathway and when a specialist referral should be considered.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Grammatikos A,Bright P,Bhatnagar R,Johnston S

doi

10.1016/j.rmed.2020.106100

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

106100

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(20)30240-7

journal_volume

171

pub_type

杂志文章
  • Efficacy of treatments in primary spontaneous pneumothorax: A systematic review and network meta-analysis of randomized clinical trials.

    abstract:BACKGROUND:Primary spontaneous pneumothorax (PSP) remains a significant global health problem. Despite general agreement, an official algorithm for the management of PSP still does not exist. OBJECTIVES:Evaluating the efficacy of all available treatments in PSP. METHODS:A systematic search of 12 electronic databases ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.rmed.2018.03.009

    authors: Vuong NL,Elshafay A,Thao LP,Abdalla AR,Mohyeldin IA,Elsabaa K,Omran ES,Yu F,Hirayama K,Huy NT

    更新日期:2018-04-01 00:00:00

  • Do current treatment protocols adequately prevent airway remodeling in children with mild intermittent asthma?

    abstract:BACKGROUND:Asthma treatment per Global Initiative for Asthma (GINA) guidelines targets airway remodeling and achievement of normal lung function. OBJECTIVE:To study inhaled steroid therapy on airway remodeling and achievement of normal lung function. SUBJECTS AND SET UP: Asthmatic patients were followed over 5 years ....

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2005.06.011

    authors: Bibi HS,Feigenbaum D,Hessen M,Shoseyov D

    更新日期:2006-03-01 00:00:00

  • Exercise capacity in children with bronchopulmonary dysplasia at school age.

    abstract:OBJECTIVE:To assess the exercise capacity, exercise habits, and lung function of preterm born children with bronchopulmonary dysplasia (BPD) compared to term born controls at school age. METHODS:Cardiopulmonary exercise test (CPET) by cycle ergometer and pulmonary function test were performed in children with BPD (n =...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2020.106102

    authors: Prenzel F,Vogel M,Siekmeyer W,Körner A,Kiess W,Vom Hove M

    更新日期:2020-09-01 00:00:00

  • The effect of massive weight loss on pulmonary function of morbid obese patients.

    abstract:STUDY OBJECTIVES:To test if morbid obesity causes pulmonary function changes and if massive weight loss have effect on pulmonary function (especially in subjects with BMI>or=60 kg/m(2)). PARTICIPANTS:Thirty-nine morbid obese subjects before and after massive weight loss. MEASUREMENTS AND RESULTS:Patients had baseline...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2005.09.021

    authors: Santana AN,Souza R,Martins AP,Macedo F,Rascovski A,Salge JM

    更新日期:2006-06-01 00:00:00

  • High resolution computed tomography pattern of usual interstitial pneumonia in rheumatoid arthritis-associated interstitial lung disease: Relationship to survival.

    abstract:PURPOSE:Interstitial lung disease is a common extra-articular manifestation of rheumatoid arthritis (RA-ILD) and is associated with significant morbidity and mortality. However, limited data exist regarding predictors of mortality. We sought to examine the prognostic value of the high-resolution computed tomography (HR...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2017.03.027

    authors: Yunt ZX,Chung JH,Hobbs S,Fernandez-Perez ER,Olson AL,Huie TJ,Keith RC,Janssen WJ,Goldstein BL,Lynch DA,Brown KK,Swigris JJ,Solomon JJ

    更新日期:2017-05-01 00:00:00

  • Cytokine release and adhesion molecule expression by stimulated human bronchial epithelial cells are downregulated by salmeterol.

    abstract::Summary beta2-adrenoreceptor agonists are able to modulate various aspects of airway cell functions involved in the inflammatory and repair processes characterizing a variety of respiratory disorders. Human bronchial epithelial cells (HBECs), which can act as immune effector cells and express beta2-adrenoreceptors, we...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(03)00137-9

    authors: Sabatini F,Silvestri M,Sale R,Serpero L,Di Blasi P,Rossi GA

    更新日期:2003-09-01 00:00:00

  • Hepatocyte growth factor and neutrophil elastase in idiopathic pulmonary fibrosis.

    abstract::It has been hypothesized that hepatocyte growth factor (HGF) may play an important role in regulating the growth of lung epithelium and in the regeneration of the lung as a paracrine or endocrine factor in idiopathic pulmonary fibrosis (IPF). Based on this background, serum HGF was measured in 31 IPF patients (21 male...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(97)90083-4

    authors: Hojo S,Fujita J,Yoshinouchi T,Yamanouchi H,Kamei T,Yamadori I,Otsuki Y,Ueda N,Takahara J

    更新日期:1997-10-01 00:00:00

  • Effects of allergen exposure on methacholine and AMP-induced air trapping in pollen-sensitive subjects.

    abstract:BACKGROUND:The effect of pro-inflammatory stimuli on bronchoconstrictor-induced air trapping has not been studied. OBJECTIVE:To determine the effect of natural allergen exposure, a pro-inflammatory stimulus, on methacholine- and adenosine 5'-monophospate (AMP)-induced air trapping. METHODS:Airway responsiveness to me...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2010.11.023

    authors: Lopez V,Prieto L,Perez C,Barato D,Marin J

    更新日期:2011-06-01 00:00:00

  • Mechanism of capsaicin action: recent learnings.

    abstract::Capsaicin has long been known to act selectively on a subpopulation of neurons to produce initial excitation, followed by a prolonged neuroinhibitory action commonly referred to as 'capsaicin desensitization'. This property has been exploited extensively as a tool with which to investigate the role of these nerves in ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0954-6111(06)80252-0

    authors: O'Neill TP

    更新日期:1991-01-01 00:00:00

  • Impact of emphysema and airway wall thickness on quality of life in smoking-related COPD.

    abstract:BACKGROUND:Limited data are available as to the relationship between computed tomography (CT) derived data on emphysema and airway wall thickness, and quality of life in subjects with chronic obstructive pulmonary disease (COPD). Such data may work to clarify the clinical correlate of the CT findings. METHODS:We inclu...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2013.04.016

    authors: Gietema HA,Edwards LD,Coxson HO,Bakke PS,ECLIPSE Investigators.

    更新日期:2013-08-01 00:00:00

  • Pleural manometry in patients with pleural diseases - the usefulness in clinical practice.

    abstract::Although pleural manometry is a relatively simple medical procedure it is only occasionally used to follow pleural pressure (Ppl) changes during a therapeutic thoracentesis and pneumothorax drainage. As some studies showed that pleural pressure monitoring might be associated with significant advantages, pleural manome...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2018.01.014

    authors: Grabczak EM,Krenke R,Zielinska-Krawczyk M,Light RW

    更新日期:2018-12-01 00:00:00

  • Advanced cryptogenic fibrosing alveolitis: preliminary report on treatment with cyclosporin A.

    abstract::Seven patients with fibrosing alveolitis who failed to respond to prednisolone and cyclophosphamide and were deteriorating, were treated with cyclosporin A. An initial favourable response was seen but was not maintained. When compared to a control population, matched for the extremely severe disease present in the tre...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0954-6111(89)80196-9

    authors: Alton EW,Johnson M,Turner-Warwick M

    更新日期:1989-07-01 00:00:00

  • Long-term use of Viozan (sibenadet HCl) in patients with chronic obstructive pulmonary disease: results of a 1-year study.

    abstract::Viozan (sibenadet HCl, AR-C68397AA) is a novel dual D2 dopamine receptor, beta2-adrenoceptor agonist that has been investigated for efficacy in alleviating the symptoms of chronic obstructive pulmonary disease (COPD). The slowly progressive nature of this disease means that patients will require ongoing therapeutic ma...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Hiller FC,Alderfer V,Goldman M

    更新日期:2003-01-01 00:00:00

  • Smoking habits in the Middle East and North Africa: results of the BREATHE study.

    abstract::Few recent comparative data exist on smoking habits in the Middle East and North Africa (MENA) region. The objective of this analysis was to evaluate smoking patterns in a large general population sample of individuals aged ≥ 40 years in ten countries in the region (Algeria, Egypt, Jordan, Lebanon, Morocco, Saudi Arab...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/S0954-6111(12)70011-2

    authors: Khattab A,Javaid A,Iraqi G,Alzaabi A,Ben Kheder A,Koniski ML,Shahrour N,Taright S,Idrees M,Polatli M,Rashid N,El Hasnaoui A,BREATHE Study Group.

    更新日期:2012-12-01 00:00:00

  • Association between all-cause and cause-specific mortality and the GOLD stages 1-4: A 30-year follow-up among Finnish adults.

    abstract:BACKGROUND:Mortality correlates with the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria of airway obstruction. Yet, little data exist concerning the long-term survival of patients presenting with different levels of obstruction. METHODS:We studied the association between all-cause and cause-spe...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.rmed.2015.06.002

    authors: Mattila T,Vasankari T,Kanervisto M,Laitinen T,Impivaara O,Rissanen H,Knekt P,Jousilahti P,Saarelainen S,Puukka P,Heliövaara M

    更新日期:2015-08-01 00:00:00

  • Outcomes of pulmonary tuberculosis in patients with discordant phenotypic isoniazid resistance testing.

    abstract:INTRODUCTION:The discrepancy rates of drug susceptibility testing (DST) results between solid and liquid media have been reported to range from 2.4 to 7.4% for isoniazid. Most isolate with isoniazid DST discrepancies between solid and liquid media test as susceptible on solid medium and resistant in liquid medium, howe...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2017.11.004

    authors: Kim S,Lee H,Park HY,Jeon K,Huh HJ,Lee NY,Jeong BH

    更新日期:2017-12-01 00:00:00

  • Regular albuterol or nedocromil sodium--effects on airway subepithelial tenascin in asthma.

    abstract::Both albuterol and nedocromil sodium have been recognized to possess certain anti-inflammatory properties. However, there are no data on the impact of these drugs on the pathophysiology of the bronchial extracellular matrix in asthma characterized by enhanced tenascin (Tn) expression, known to occur proportional to th...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0954-6111(99)90086-0

    authors: Altraja A,Laitinen A,Meriste S,Marran S,Märtson T,Sillastu H,Laitinen LA

    更新日期:1999-07-01 00:00:00

  • Tumor necrosis factor-alpha serum levels, weight loss and tissue oxygenation in chronic obstructive pulmonary disease.

    abstract::Weight loss has been recognized as a feature of advanced emphysema and a factor of poor prognosis, but its mechanisms remain obscure. Studies have demonstrated high serum concentrations of TNF-a (cachexin) in chronic obstructive pulmonary disease (COPD) patients with emphysema. Pink puffers (PP) COPD patients have wor...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1053/rmed.2002.1322

    authors: Pitsiou G,Kyriazis G,Hatzizisi O,Argyropoulou P,Mavrofridis E,Patakas D

    更新日期:2002-08-01 00:00:00

  • Prescribing of nebulized bronchodilators--can we change bad habits?

    abstract::The accuracy of prescriptions for bronchodilator drugs was monitored before and after an educational circular to the medical staff of five medical wards. The circular contained model prescriptions for beta-agonists alone and combined with ipratropium bromide. There was a significant improvement overall in the accuracy...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(89)80207-0

    authors: Craig IR,Riley MR,Cooke NJ

    更新日期:1989-07-01 00:00:00

  • Home-made spacer as an auxiliary device in administration of beclomethasone via pressurized metered dose inhaler for asthma control. A randomized controlled pragmatic trial.

    abstract:BACKGROUND:Holding chambers or spacers can enhance the efficacy of pressurized metered dose inhalers (pMDI) in delivering inhaled medications, as they reduce the need for hand-breath coordination and improve lower airways deposition. Nevertheless, their cost can be high for patients in low-income countries. OBJECTIVE:...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.rmed.2017.03.017

    authors: Schor D,Rizzo JÂ,Medeiros D,Dela Bianca AC,Silva AR,Nunes C,Morais-Almeida M,Sarinho E

    更新日期:2017-05-01 00:00:00

  • Prognostic significance of hemostatic parameters in patients with lung cancer.

    abstract::There is a subclinical activation of coagulation and fibrinolysis system in lung cancer. Alterations in hemostatic system are seen frequently in lung cancer correlated with the prognosis of disease. In this prospective study, our purpose was to investigate the prognostic significance of hemostatic markers in patients ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2003.07.001

    authors: Unsal E,Atalay F,Atikcan S,Yilmaz A

    更新日期:2004-02-01 00:00:00

  • Family clusters of pulmonary tuberculosis in a suburban area of Japan.

    abstract::A survey was conducted in a metropolitan suburb to examine family clusters of pulmonary tuberculosis patients and related factors. Firstly, a descriptive study was done based on the review of tuberculosis registration cards over a 11-yr period. Of 1106 cases, 109 (9.9%) were found to occur in households which had alre...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/0954-6111(93)90093-f

    authors: Kondo T,Hotta I,Yamanaka K,Sakakibara H,Miyao M,Yamada S

    更新日期:1993-04-01 00:00:00

  • Angiopoietin-2 expression in patients with an acute exacerbation of idiopathic interstitial pneumonias.

    abstract:BACKGROUND AND OBJECTIVE:We hypothesized that increased pulmonary vascular permeability may play a role in the pathogenesis of an acute exacerbation of the idiopathic interstitial pneumonias (AE-IIPs). Angiopoietin-2 (Ang-2) promotes endothelial activation, destabilization, and inflammation. The purpose of this study w...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2016.05.012

    authors: Ando M,Miyazaki E,Abe T,Ehara C,Goto A,Masuda T,Nishio S,Fujisaki H,Yamasue M,Ishii T,Mukai Y,Ito T,Nureki SI,Kumamoto T,Kadota J

    更新日期:2016-08-01 00:00:00

  • The clinical management in extremely severe COPD.

    abstract::Chronic obstructive pulmonary disease (COPD) affects 6% of the general population and is the fourth-leading cause of death in the United States with severe and very severe disease accounting for 15% and 3% of physician diagnoses of COPD. Guidelines make few recommendations regarding providing the provision of care for...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2007.02.011

    authors: Ambrosino N,Simonds A

    更新日期:2007-08-01 00:00:00

  • A proposal for a practical treatment guideline designed for the initial two-hours of the management of patients with acute severe asthma and COPD using the principles of evidence-based medicine.

    abstract::We have proposed a clinical treatment guideline for the management of acute, severe asthma and chronic obstructive pulmonarydisease (COPD) using the principles of evidence-based medicine. The content is based upon practical clinical issues in need of consensus. A previous study has shown that this particular area is i...

    journal_title:Respiratory medicine

    pub_type: 指南,杂志文章,实务指引

    doi:10.1053/rmed.2002.1332

    authors: Phanareth K,Hansen LS,Christensen LK,Laursen LC

    更新日期:2002-09-01 00:00:00

  • Sputum biomarkers during aspirin desensitization in nonsteroidal anti-inflammatory drugs exacerbated respiratory disease.

    abstract:BACKGROUND:Aspirin desensitization (AD) is an effective and safe therapeutic option for patients with nonsteroidal anti-inflammatory drugs (NSAIDs)-exacerbated respiratory disease (N-ERD). The mechanisms driving its beneficial effects remain poorly understood. OBJECTIVE:To investigate the effect of long-term AD on cli...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2019.04.021

    authors: Tyrak KE,Kupryś-Lipińska I,Czarnobilska E,Jakieła B,Pajdzik K,Ćmiel A,Plutecka H,Koziej M,Gawrońska A,Konduracka E,Kuna P,Sanak M,Mastalerz L

    更新日期:2019-06-01 00:00:00

  • Improvement in patient compliance with long-term oxygen therapy following formal assessment with training.

    abstract::In the Department of Respiratory Medicine, North Staffordshire Hospital, patients fulfilling the Department of Health criteria for long-term oxygen therapy (LTOT) attend a practical teaching session on the use of their oxygen concentrator before commencing therapy. In the present study, we have audited the prescribing...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(98)90422-x

    authors: Peckham DG,McGibbon K,Tonkinson J,Plimbley G,Pantin C

    更新日期:1998-10-01 00:00:00

  • The treatment of pulmonary sarcoidosis.

    abstract::This manuscript offers an approach to the treatment of pulmonary sarcoidosis based on current available information. The treatment of pulmonary sarcoidosis is not mandatory as the disease may be self-limiting and therapy is often associated with significant drug side effects. The decision to treat rests predominantly ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2012.01.013

    authors: Judson MA

    更新日期:2012-10-01 00:00:00

  • Validation of ATS clinical practice guideline cut-points for FeNO in asthma.

    abstract:BACKGROUND:The American Thoracic society (ATS) has suggested using fractional exhaled nitric oxide (FeNO) to monitor the level of eosinophilic (EOS) airway inflammation in asthma, but validation of the proposed cut-points is required in real-life populations. OBJECTIVE:To validate FeNO cut-points suggested by ATS in r...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2018.09.014

    authors: Jeppegaard M,Veidal S,Sverrild A,Backer V,Porsbjerg C

    更新日期:2018-11-01 00:00:00

  • Exhaled nitric oxide measurements: correction equation to compare hand-held device to stationary analyzer.

    abstract:INTRODUCTION:Exhaled nitric oxide (FE(NO)) is a reliable non-invasive marker of airway inflammation. In 2003 FE(NO) chemiluminescence analyzer (NIOX; Aerocrine AB, Solna, Sweden) was approved by U.S. Food and Drug Administration for monitoring asthma therapy. Recently, the same company developed a portable device using...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2008.04.006

    authors: Pizzimenti S,Bugiani M,Piccioni P,Heffler E,Carosso A,Guida G,Rolla G

    更新日期:2008-09-01 00:00:00