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Introduction/Background
Secondary immunodeficiency results from nongenetic factors that depress the immune response. A variety of factors can affect the diverse aspects of the immune response and result in secondary immunodeficiencies. These factors include: extremes of age; malnutrition; metabolic diseases (diabetes and uremia); genetic syndromes (as in trisomy 21); anti-inflammatory, immunomodulatory, and immunosuppressive drug therapy; surgery and trauma (including splenectomy); environmental conditions (UV light, radiation, hypoxia, space flight); and infectious diseases (HIV) (Chinen and Shearer 2010). Lymphoproliferative malignancies such as chronic lymphocytic leukemia and multiple myeloma are also associated with secondary immunodeficiency (Friman et al. 2016).
Causes of secondary immunodeficiencies |
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Environmental conditions |
Extremes of age |
Genetic syndromes |
Infections |
Lymphoproliferative malignancies |
Medications Immunosuppressive,... |
References
Chinen J, Shearer WT. Secondary immunodeficiencies, including HIV infection. J Allergy Clin Immunol. 2010;125(Suppl 2):S195–203.
Compagno N, Malipiero G, Cinetto F, Agostini C. Immunoglobulin replacement therapy in secondary hypogammaglobulinemia. Front Immunol. 2014;5:626.
Dhalla F, Misbah SA. Secondary antibody deficiencies. Curr Opin Allergy Clin Immunol. 2015;15(6):505–13.
Friman V, Winqvist O, Blimark C, Langerbeins P, Chapel H, Dhalla F. Secondary immunodeficiency in lymphoproliferative malignancies. Hematol Oncol. 2016;34(3):121–32.
Kaplan B, Kopyltsova Y, Khokhar A, Lam F, Bonagura V. Rituximab and immune deficiency: case series and review of the literature. J Allergy Clin Immunol Pract. 2014;2(5):594–600.
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Perez, E.E. (2017). Clinical Presentation of Immunodeficiency, Secondary Immunodeficiency. In: MacKay, I., Rose, N. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9209-2_70-1
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DOI: https://doi.org/10.1007/978-1-4614-9209-2_70-1
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