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Primary Immunodeficiencies in Pregnancy

  • Ekta Kakkar
  • Joud HajjarEmail author
Chapter

Abstract

Primary immunodeficiencies (PIDs) are a rare group of disorders that result from a variety of genetic defects and cause susceptibility to infections that can be life-threatening. Patients with PID often are diagnosed at a young age due to frequent infections; however, some PIDs, such as antibody deficiency disorders, are diagnosed in adulthood. In addition, some immune dysregulation disorders and PID with hypomorphic mutations might present with minimal symptoms during childhood and are not fully diagnosed until adolescence or adulthood. With prompt treatment of infections, prevention prophylaxis, and the development of immunoglobulin replacement therapy, patients with multiple PID diagnoses are now living into adulthood, including women of childbearing age. As the number of pregnancies in women with PID rises, immunologists and gynecologists have encountered a new obstacle in the care of these unique patients. In this chapter, we discuss the major PIDs affecting women of childbearing age and review the literature of reported pregnancies in specific PID diagnoses, summarize specific treatments used, and highlight the outcomes of their pregnancies.

Keywords

Primary immunodeficiency PID Pregnancy in PID High-risk pregnancy Immune system in pregnancy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Section of Immunology, Allergy and Rheumatology, Department of PediatricsBaylor College of MedicineHoustonUSA

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