Table 1.
Patient number | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
---|---|---|---|---|---|---|---|
Age of diagnosis: CVID | 6 years | 8 years | 3 years 6 months | 12 years | 10 years | 8 years | 5 years |
Main symptoms of CVID | infections of respiratory tract, lymphadenopathy splenomegaly | thrombocytopaenia splenomegaly | severe thrombocytopenia lymphadenopathy splenomegaly | thrombocytopaenia thrombocytopaenia leukopaenia | thrombocytopaenia | pneumonias lymphadenopathy, splenomegaly | |
Laboratory data at diagnosis of CVID | low level of IgG IgA, low number of T cells, reverse CD4:CD8 ratio, weak response to vaccines | low level of IgG, IgA, IgM, low number ofT,B,andNK cells | low number of T cells, lack of response T cells to stimulation, low level of IgG | low level of IgG, IgA and IgM, low number of T, B and NK cells | low level of IgG | low level of IgG, IgA | low level of IgG, IgM, lack of IgA, leukopaenia, weak response to vaccines |
Other symptoms | mild leukopaenia | leukopaenia | severe haemolytic anaemia | severe leukopaenia | no | no | agenesis of kidney, LIP, lung fibrosis (progression), bronchiectases |
Response to IgG | good, no infections | good | good | weak (increase of platelets 2-3 days) | good | good | weak (low level of IgG) |
Complications | adverse reaction to IVIG, shift to SCIG | severe osteoporosis, overweight, delay of puberty | |||||
Other therapies | steroids before IVIG | steroids, azathioprine prolonged because of lung fibrosis progression | |||||
Present status | SCIG | IVIG, LIP diagnosis | no substitution, hematologic care | IVIG, hematologic care | no substitution no symptoms | no substitution no symptoms | SCIG, lungs and kidney insufficiency, splenomegaly |
LIP - lymphocyte infiltrating pneumonia, IVIG - intravenous substitution of IgG, SCIG - subcutaneous form of substitution