Chinese Journal of Practical Pediatrics ›› 2024, Vol. 39 ›› Issue (6): 462-466.DOI: 10.19538/j.ek2024060612

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Immunodeficiency with autoinflammation in inborn errors of immunity

  

  1. Department of Rheumatology and Immunology,the Children's Hospital of Chongqing Medical University;National Clinical Medical Research Center of Children's Health and Diseases;Key Laboratory of Child Developmental Diseases,Ministry of Education;Chongqing Key Laboratory of Infectious and Immunological Rare Diseases in Children,Chongqing  400014,China
  • Online:2024-06-06 Published:2024-07-11

免疫出生错误中的免疫缺陷伴自身炎症现象

  

  1. 重庆医科大学附属儿童医院风湿免疫科  国家儿童健康与疾病临床医学研究中心  儿童发育疾病研究教育部重点实验室  儿童感染与免疫罕见病重庆市重点实验室,重庆  400014
  • 通讯作者: 赵晓东,电子信箱:zhaoxd530@aliyun.com

Abstract: Inborn errors of immunity (IEIs) are a type of monogenic genetic disease caused by heritable mutation in genes encoding immune molecules, with the classic clinical manifestations being recurrent infections. Monogenic autoinflammatory diseases (mAID) represent a relatively new subclass of IEI, characterized by non-infectious hyperin- flammation. In recent years, an increasing number of complex IEIs have been discovered, with some patients exhibiting both immunodeficiency and autoinflammatory manifestations. This article provides a brief summary and introduction to the clinical manifestations of these IEIs, aiming to update clinicians' understanding of IEI or mAID and reduce misdiagnosis and under-treatment.

Key words: inborn errors of immunity, monogenic autoinflam-matory diseases, recurrent infection, hyperinflammation, genetic mutation

摘要: 免疫出生错误(inborn errors of immunity,IEI)是一类单基因遗传病,由编码免疫分子的基因发生可遗传突变所致,其经典的临床表现是反复感染。单基因自身炎症性疾病(monogenic autoinflammatory diseases,mAID)是IEI中一个相对较新的亚类,其经典表现是非感染性的过度炎症。近年来,越来越多的复杂IEI被发现,部分复杂IEI患者同时出现免疫缺陷和自身炎症表现。文章简要总结和介绍这部分IEI的临床表现,以更新临床同仁对IEI或者mAID的认识,减少漏诊漏治。

关键词: 免疫出生错误, 单基因自身炎症性疾病, 反复感染, 过度炎症, 基因突变