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. 2013 Nov 16;34(1):10–22. doi: 10.1007/s10875-013-9954-6

Table IV.

Warning signs of PIDD for pulmonologists

Clinical occurrences PIDD Laboratory tests
Pneumonias due to extracellular bacteria + otitis and sinusitis Antibody deficiencies AMI
Complement deficiencies C, ANA

Pulmonary abscess

Pneumatocele

Hyper IgE syndrome (HIES)

Features: pneumonia by S aureus, eczema, fungal infection, joint hypermobility, coarse facial features

Serum IgE, eosinophilia

Specific Scorea

Pneumonias due to Staphylococcus or fungi Chronic granulomatous disease (CGD): susceptibility to infections by catalase positive microorganisms. Other infections: adenitis, liver abscess, osteomyelitis P

Glucose-6-phosphate dehydrogenase (G6PD) deficiency

Myeloperoxidase deficiency (common in diabetes)

G6PD activity

Peroxidase level

HIES

Serum IgE, eosinophilia

Specific Scorea

Pneumonia due to P jiroveci T cell deficiencies/CD4+ lymphopenia

CMI, AMI

Lymphoproliferation assay

CD40 ligand (L) deficiency AMI, CMI
Wiskott-Aldrich syndrome (WAS), eczema + thrombocytopenia CBC including platelet number and size (small sized platelets); CMI, AMI
Pneumonia due to Mycobacteria tuberculosis or atypical mycobacteria T cell deficiencies/CD40L deficiency CMI, AMI
Mendelian susceptibility to mycobacterial diseases II

Abbreviations: AMI antibody mediated immunity, ANA antinuclear antibodies, CBC complete blood count, CMI cellular mediated immunity, II innate immunity, P phagocytosis

aScore for classical Hyper IgE diagnosis [26]