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. 2024 Jul 24;13(15):4321. doi: 10.3390/jcm13154321

Table 3.

e-CRF Collected Information.

Demographic data Patient’s initials
Date of birth
Family History Family History (IEI, autoimmunity, allergy, etc.)
Consanguinity
Clinical Manifestations
  • -

    Absence of symptoms

  • -

    Age at symptoms onset

  • -

    Infectious diseases at diagnosis

  • -

    Etiological agent(s)

  • -

    Allergic diseases

  • -

    Non-infectious gastrointestinal disorders

  • -

    Non-infectious respiratory diseases

  • -

    Lymphoproliferative Disorders

  • -

    Neoplasia

  • -

    Autoimmune Diseases

  • -

    Hospitalization (causes and durancy)
Treatments
  • -

    Previous and current therapies

  • -

    Ig Replacement Therapy (IVIG, SCIG, and F-SCIG)

  • -

    Antimicrobial Prophylaxis

  • -

    Other

Laboratory Investigations
  • -

    Complete Blood Count

  • -

    Immunoglobulins (IgG, IgA, IgM, and sIgE)

  • -

    IgG Subclasses

  • -

    s-FLC: Kappa sFLC and Lambda sFLC

  • -

    Standard and Extended B- and T-Lymphocytes subsets

  • -

    Specific Ab responses (Anti TT Ab; Anti PCP Ab, etc.)

  • -

    Autoimmunity (Autoantibodies, C3, C4)

Genetic analysis Not yet performed, ongoing, or carried out
Type of mutation
Instrumental investigations
(on clinical indication)
  • -

    Spirometry

  • -

    Abdomen ultrasound

  • -

    EGDS

  • -

    Chest CT
Quality of life Days of absence/year (School/Job)
Recreative activities (practiced or not)