Common Variable Immune Deficiency (CVID)
CVID is a disorder characterized by impaired B-cell differentiation, leading to reduced antibody production and increased susceptibility to infections.
Signs and Symptoms:
- Recurring infections (sinus, lung, gastrointestinal, skin)
- Bronchiectasis (chronic lung disease)
- Chronic diarrhea or gastrointestinal issues
- Fatigue
- Weight loss
- Swollen lymph nodes
- Autoimmune disorders (e.g., rheumatoid arthritis)
- Granulomatous disease (inflammation in organs)
Treatment Options:
- Immunoglobulin replacement therapy (IGRT):
- Intravenous (IVIG) or subcutaneous (SCIG) administration
- Replaces deficient antibodies
- Antibiotic prophylaxis:
- Prevents infections
- Often used in conjunction with IGRT
- Management of complications:
- Bronchiectasis: Chest physiotherapy, antibiotics
- Autoimmune disorders: Immunosuppressive medications
- Granulomatous disease: Corticosteroids, immunosuppressants
- Lifestyle modifications:
- Good hygiene practices
- Avoid close contact with individuals with infections
- Regular follow-up with healthcare provider
Additional Considerations:
- Genetic counseling (if familial CVID suspected)
- Monitoring for lymphoma or other cancers
- Avoid live vaccines due to increased risk of infection
Consult an immunologist or healthcare professional for personalized diagnosis and treatment, as CVID requires individualized care.
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