Table 1.
CLINICAL OUTCOME VARIABLE | |
Infections |
Presence of at least one of these: - Recurrent sinusitis, otitis, or high respiratory tract infections - Pneumonia - Recurrent non-life-threatening infections (e.g. Erysipelas, cholangitis) - Gastro-intestinal infection caused by CVID-characteristic pathogen (e.g. Campylobacter, Giardia, Norovirus, etc.) - Severe infection (sepsis, meningoencephalitis, endocarditis etc.) - Opportunistic infection |
Autoimmunity | Presence of at least one autoimmune manifestation, including both systemic and organ-specific autoimmune diseases. Dysregulated or inflammatory manifestations such as enteropathies and non-infectious erythema nodosum were also included in this group |
Granulomatous disease | Histological evidence, with or without radiological confirmation, of granulomatous lesions with no discernible infectious cause |
Lung involvement | Presence of at least one of the following: high-resolution tomography alterations, such as bronchiectasis or interstitial abnormalities, documented reduction in DLCO, or a restrictive pattern observed in pulmonary function testing |
Malignancies | The diagnosis should be established within 6 months of the CVID diagnosis. Benign solid tumors are not considered |
Atopy | At least one allergic manifestation, encompassing a history of anaphylaxis, allergic rhino-conjunctivitis, asthma, and atopic dermatitis |
Splenomegaly | Spleen diameter > 12 cm, evaluated by ultrasound or CT scan |
Lymphadenopathy (LA) | Chronic enlargement of at least two different lymphnode anatomical sites demonstrated through ultrasound or CT scan |
LABORATORY VARIABLES | |
Immunoglobulin levels | Total IgG levels before initiation of Ig replacement therapy, as well as total IgA, IgM, and IgE levels at the most recent evaluation, were determined |
CMV and EBV blood viral load |
CMV viral load was determined by RT-PCR with CMV ELITe MGB Kit EBV viral load was determined by RT-PCR with EBV ELITe MGB Kit |
Other infective agents | Each patient underwent screening for HCV, HIV, HBV, HHV6 using RT-PCR tests (in addition, for HIV, a fourth-generation test was also conducted), and anamnestic immune response to MTB |
CMV Cytomegalovirus; DLCO Diffusing Capacity of the Lungs for Carbon Monoxide; EBV Epstein-Barr virus; HBV Hepatitis B virus; HCV hepatitis C virus; HHV6 Human herpes virus 6; HIV human immunodeficiency virus; MTB Mycobacterium tuberculosis; RT-PCR Real time polymerase chain reaction