Publicación:
Deficiencia Selectiva de IgA, artritis idiopática juvenil y uveítis anterior en una niña costarricense. ¿Enfermedades coincidentales?. Reporte de caso y revisión de literatura

dc.contributor.authorAlfaro-Murillo, Albertospa
dc.contributor.authorIvankovich-Escoto, Gabrielaspa
dc.contributor.authorMartínez-Arguedas, Joaquínspa
dc.contributor.authorCalvo-Solís, Melvinspa
dc.contributor.authorCorrea Jiménez, Oscar Leonardospa
dc.contributor.authorFasth, Andersspa
dc.date.accessioned2022-07-15 00:00:00
dc.date.available2022-07-15 00:00:00
dc.date.issued2022-07-15
dc.description.abstractAntecedentes: la deficiencia selectiva de IgA es la inmunodeficiencia primaria más frecuente alrededor del mundo. Usualmente quienes la sufren son asintomáticos. Los casos sintomáticos se caracterizan por infecciones recurrentes, riesgo mayor de enfermedades autoinmunes y/o neoplasias. Por otra parte, las enfermedades reumáticas en la infancia son infrecuentes, siendo la artritis idiopática juvenil la más común. Presentación del Caso: se presenta el caso de una paciente femenina que desarrolló artritis idiopática juvenil oligoarticular a los 7 años de edad. Posterior al diagnóstico, la paciente presentó uveítis anterior aguda. Posterior a la evaluación inmune inicial, se diagnosticó deficiencia selectiva de IgA. Los estudios realizados para inmunodeficiencia documentaron un fenotipo de célula T normal. El fenotipo de células B evidenció un perfil normal de linfocitos B de memoria, ausencia de linfocitos B transicionales y un amento en la población B CD21 low. Conclusiones: al inicio de cualquier valoración reumatológica, los médicos deben solicitar niveles de inmunoglobulinas, con el fin de detectar posibles inmunodeficiencias primarias de anticuerpos.spa
dc.description.abstractBackgroup: selective IgA deficiency is the most frequent primary immunodeficiency worldwide. Patients are usually asymptomatic. However, those cases with symptoms develop recurrent infections and increased risk of autoimmune and malignant diseases. On the other hand, rheumatic disorders are uncommon during childhood with juvenile idiopathic arthritis as the most common one. Case Presentation: we present the case of a female patient, who developed oligoarticular juvenile idiopathic arthritis at age 7 years. After the diagnosis, she developed acute anterior uveitis. During the initial immunological evaluation, the diagnosis of selective IgA deficiency was confirmed. A work-up for immunodeficiency demonstrated a normal T cell compartment. B cell subpopulations showed normal memory B lymphocytes, absence of transitional B cells, and an increase in the CD21 low unique subset. Conclusions: at the beginning of any rheumatological evaluation, the physician should request immunoglobulins levels, in order to detect possible primary antibodies deficiencies.eng
dc.format.mimetypeapplication/pdfeng
dc.identifier.doi10.32997/rcb-2022-3846
dc.identifier.eissn2389-7252
dc.identifier.issn2215-7840
dc.identifier.urlhttps://doi.org/10.32997/rcb-2022-3846
dc.language.isoengeng
dc.publisherUniversidad de Cartagenaspa
dc.relation.bitstreamhttps://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/download/3846/3264
dc.relation.citationeditionNúm. 3 , Año 2022spa
dc.relation.citationendpage249
dc.relation.citationissue3spa
dc.relation.citationstartpage243
dc.relation.citationvolume11spa
dc.relation.ispartofjournalRevista Ciencias Biomédicasspa
dc.relation.referencesThieffry S, Arthuis M, Aicardi J, Lyon G. [Ataxiatelangiectasis. (7 personal cases)]. Rev Neurol (Paris). 1961; 105: 390-405.eng
dc.relation.referencesMoschese V, Chini L, Graziani S, Sgrulletti M, Gallo V, Di Matteo G, et al. Follow-up and outcome of symptomatic partial or absolute IgA deficiency in children. Eur J Pediatr. 2019;178(1):51-60.eng
dc.relation.referencesYazdani R, Azizi G, Abolhassani H, Aghamohammadi A. Selective IgA Deficiency: Epidemiology, Pathogenesis, Clinical Phenotype, Diagnosis, Prognosis and Management. Scand J Immunol. 2017;85(1):3-12.eng
dc.relation.referencesMartini A, Ravelli A, Avcin T, Beresford MW, Burgos-Vargas R, Cuttica R, et al. Toward New Classification Criteria for Juvenile Idiopathic Arthritis: First Steps, Pediatric Rheumatology International Trials Organization International Consensus. J Rheumatol. 2019;46(2):190-7.eng
dc.relation.referencesPetty RE, Southwood TR, Manners P, Baum J, Glass DN, Goldenberg J, et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol. 2004;31(2):390-2.eng
dc.relation.referencesAngeles-Han ST, Ringold S, Beukelman T, Lovell D, Cuello CA, Becker ML, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Screening, Monitoring, and Treatment of Juvenile Idiopathic Arthritis-Associated Uveitis. Arthritis Care Res (Hoboken). 2019;71(6):703-16.eng
dc.relation.referencesArguedas O, Fasth A, Andersson-Gare B, Porras O. Juvenile chronic arthritis in urban San Jose, Costa Rica: a 2 year prospective study. J Rheumatol. 1998;25(9):1844-50.eng
dc.relation.referencesSen ES, Ramanan AV. Juvenile idiopathic arthritis-associated uveitis. Clin Immunol. 2020; 211: 108322.eng
dc.relation.referencesOdineal DD, Gershwin ME. The Epidemiology and Clinical Manifestations of Autoimmunity in Selective IgA Deficiency. Clin Rev Allergy Immunol. 2020;58(1):107-33.eng
dc.relation.referencesFerreira RC, Pan-Hammarstrom Q, Graham RR, Fontan G, Lee AT, Ortmann W, et al. High-density SNP mapping of the HLA region identifies multiple independent susceptibility loci associated with selective IgA deficiency. PLoS Genet. 2012;8(1):e1002476.eng
dc.relation.referencesMohammadi J, Ramanujam R, Jarefors S, Rezaei N, Aghamohammadi A, Gregersen PK, et al. IgA deficiency and the MHC: assessment of relative risk and microheterogeneity within the HLA A1 B8, DR3 (8.1) haplotype. J Clin Immunol. 2010;30(1):138-43.eng
dc.relation.referencesDominguez O, Giner MT, Alsina L, Martin MA, Lozano J, Plaza AM. [Clinical phenotypes associated with selective IgA deficiency: a review of 330 cases and a proposed follow-up protocol]. An Pediatr (Barc). 2012;76(5):261-7.eng
dc.relation.referencesNechvatalova J, Pikulova Z, Stikarovska D, Pesak S, Vlkova M, Litzman J. B-lymphocyte subpopulations in patients with selective IgA deficiency. J Clin Immunol. 2012;32(3):441-8.eng
dc.relation.referencesMorbach H, Eichhorn EM, Liese JG, Girschick HJ. Reference values for B cell subpopulations from infancy to adulthood. Clin Exp Immunol. 2010;162(2):271-9.eng
dc.relation.referencesHügle B, Speth F, Warnatz K, Schlesier M, Krumrey-Langkammerer M, Schuster V, et al. Acquisition of Selective IgA Deficiency in Juvenile Idiopathic Arthritis after Immunosuppressive Treatment. Ann Paediatr Rheumatol. 2013;2(4):171-7.eng
dc.relation.referencesThorarinsdottir K, Camponeschi A, Gjertsson I, Martensson IL. CD21 -/low B cells: A Snapshot of a Unique B Cell Subset in Health and Disease. Scand J Immunol. 2015;82(3):254-61.eng
dc.relation.referencesGrumet P, Kodjikian L, de Parisot A, Errera MH, Sedira N, Heron E, et al. Contribution of diagnostic tests for the etiological assessment of uveitis, data from the ULISSE study (Uveitis: Clinical and medicoeconomic evaluation of a standardized strategy of the etiological diagnosis). Autoimmun Rev. 2018;17(4):331-43.eng
dc.relation.referencesKubicka-Trzaska A. [Immunologic disturbances in patients with idiopathic posterior uveitis]. Klin Oczna. 2000;102(4):253-8.eng
dc.relation.referencesRahimi M, Najafi M. The Role of Immune System in Idiopathic Anterior Uveitis. Iran J Immunol. 2006;3(2):91-4.eng
dc.rightsAlberto Alfaro-Murillo, Gabriela Ivankovich-Escoto, Joaquín Martínez-Arguedas, Melvin Calvo-Solís, Oscar Leonardo Correa Jiménez, Anders Fasth - 2022eng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccesseng
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2eng
dc.rights.creativecommonsEsta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.eng
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0eng
dc.sourcehttps://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/view/3846eng
dc.subjectIgA Deficiencyeng
dc.subjectJuvenile Idiopathic Arthritiseng
dc.subjectUveitiseng
dc.subjectAutoimmunityeng
dc.subjectImmunoglobulin Aeng
dc.subjectDeficiencia de IgAspa
dc.subjectArtritis reumatoide juvenil idiopáticaspa
dc.subjectuveítisspa
dc.subjectautoinmunidadspa
dc.subjectinmunoglobulina Aspa
dc.titleDeficiencia Selectiva de IgA, artritis idiopática juvenil y uveítis anterior en una niña costarricense. ¿Enfermedades coincidentales?. Reporte de caso y revisión de literaturaspa
dc.title.translatedSelective IgA deficiency, juvenile idiopathic arthritis and anterior uveitis in a Costa Rican child. Coincidental diseases?. Case report and literature revieweng
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501eng
dc.type.coarhttp://purl.org/coar/resource_type/c_6501eng
dc.type.coarversionhttp://purl.org/coar/version/c_970fb48d4fbd8a85eng
dc.type.contentTexteng
dc.type.driverinfo:eu-repo/semantics/articleeng
dc.type.localJournal articleeng
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTREFeng
dc.type.versioninfo:eu-repo/semantics/publishedVersioneng
dspace.entity.typePublication

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