Skip to main content

Advertisement

Log in

Patterns of Primary Immunodeficiency Disorders Among a Highly Consanguineous Population: Cairo University Pediatric Hospital’s 5-Year Experience

  • Original Article
  • Published:
Journal of Clinical Immunology Aims and scope Submit manuscript

Abstract

Introduction

Primary immunodeficiency disorders (PIDs) are heterogeneous disorders that mainly present with severe, persistent, unusual, or recurrent infections in childhood. Reports from different parts of the world indicate a difference between Western and Eastern populations.

Aim

The aim of this study was to report on the different patterns of PIDs and identify subgroup characteristics in a highly consanguineous population in Egypt.

Methods

We performed a retrospective chart review for children below 18 years diagnosed with PID at Cairo University Pediatric Hospital from 2010 to 2014.

Results

Four hundred seventy-six children were diagnosed with PID disorders. Major categories included combined immunodeficiency disorders, which constituted a large proportion (30 %) of cases, along with predominantly antibody disorders (18 %) followed by syndromic combined disorders (16.8 %), phagocytic disorders (13.2 %), immune dysregulation disorders (10.5 %), and autoinflammatory disorders (9 %).

Conclusion

PIDs have different patterns within inbred populations with high consanguinity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Barbouche MR, Galal N, Ben-Mustapha I, Jeddane L, Mellouli F, Ailal F, et al. Primary immunodeficiencies in highly consanguineous North African populations. Ann N Y Acad Sci. 2011;1238:42–52.

    Article  PubMed  Google Scholar 

  2. Al-Herz W, Aldhekri H, Barbouche MR, Rezaaei N. Consanguinity and primary immunodeficiencies. Hum Hered. 2014;77(1–4):138–43.

    Article  CAS  PubMed  Google Scholar 

  3. Shawky RM, ElAwady M, Elsayed S, Hamadan G. Consanguinous matings among Egyptian population. Egypt J Med Hum Genet. 2012;12(2):157–63.

    Article  Google Scholar 

  4. Temtamy S, Aglan M. Consanguinity and genetic disorders in Egypt. Middle East J Med Genet. 2011;1(1):12–7.

    Article  Google Scholar 

  5. Anwar WA, Khayatti M, Hemminki K. Consanguinity and genetic diseases in North Africa and immigrants to Europe. Eur J Public Health. 2014;24 Suppl 1:57–63.

    Article  PubMed  Google Scholar 

  6. Bashamboo A, McElreavey K. Consanguinity and disorders of sex development. Hum Hered. 2014;77(1–4):108–17.

    Article  PubMed  Google Scholar 

  7. Picard C, Al-Herz W, Bousfiha A, Casanova JL, Chatila T, Conley ME, et al. Primary immunodeficiency diseases: an update on the classification from the International Union of Immunological Societies Expert Committee for Primary Immunodeficiency 2015. J Clin Immunol. 2015;35(8):696–726.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Meshaal S., El Hawary R., Elsharkawy M., Mousa R., Farid R., Abd. Elaziz D, Alkady R, Galal N., Massaad M, Boutros J., El Marsafy A. Mutations in recombination activating gene 1 and 2 in patients with severe combined immunodeficiency disorders in Egypt. Clin Immunol. 2015; 158: 167–172

  9. Al-Saud B, Al-Mousa H, Al Gazlan S, Al-Ghonaium A, Arnaout R, Al-Seraihy A, et al. Primary immunodeficiency diseases in Saudi Arabia: a tertiary care hospital experience over a period of three years (2010–2013). J Clin Immunol. 2015;35(7):651–60.

    Article  PubMed  Google Scholar 

  10. Azarsiz E, Gulez N, Karaca NE, Aksu G, Kutukculer N. Consanguinity rate and delay in diagnosis inTurkish patients with combined immunodeficiencies: a single center study. J Clin Immunol. 2011;31:106–11.

    Article  CAS  PubMed  Google Scholar 

  11. Mellouli F, Mustapha IB, Khaled MB, Besbes H, Ouederni M, Mekki N, et al. Report of the Tunisian Registry of Primary Immunodeficiencies: 25-Years of Experience (1988–2012). J Clin Immunol. 2015;35(8):745–53.

    Article  PubMed  Google Scholar 

  12. Bousfiha AA, Jeddane L, El Hafidi N, Benajiba N, Rada N, El Bakkouri J, et al. First report on the Moroccan registry of primary immunodeficiencies: 15 years of experience (1998–2012). J Clin Immunol. 2014;34:459–68.

    CAS  PubMed  Google Scholar 

  13. Al –Herz W. Primary immunodeficiency disorders in Kuwait: first report from Kuwait National Primary Immunodeficiency Registry. J Clin Immunol. 2008;28(2):186–93.

    Article  PubMed  Google Scholar 

  14. Al Khatib S, Keles S, Garcia-Lloret M, Karakoc-Aydiner E, Reisli I, Artac H, et al. Defects along the Th17 differentiation pathway underlie genetically distinct forms of the hyper IgE syndrome. J Allergy Clin Immunol. 2009;124(2):342–8.

    Article  CAS  PubMed  Google Scholar 

  15. Kilic S, Ozel M, Hafizoglu D, Karaca NE, Asku G, Kutukculer N. The prevalence and patient characteristics of primary immunodeficiency diseases in Turkey—two centers study. J Clin Immunol. 2013;33:74–83.

    Article  CAS  PubMed  Google Scholar 

  16. Köker MY, Camcıoğlu Y, van Leeuwen K, Kılıç SŞ, Barlan I, Yılmaz M, et al. Clinical, functional, and genetic characterization of chronic granulomatous disease in 89 Turkish patients. J Allergy Clin Immunol. 2013;132(5):1156–63.

    Article  PubMed  Google Scholar 

  17. Al-Tamemi S, Elnour I, Dennison D. Primary immunodeficiency diseases in Oman: five years’ experience at Sultan Qaboos University Hospital. World Allergy Organ J. 2012;5(5):52–6.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Reda SM, Afifi HM, Amine MM. Primary immunodeficiency diseases in Egyptian children: a single-center study. J Clin Immunol. 2009;29(3):343–51.

    Article  PubMed  Google Scholar 

  19. Al-Herz W, Notarangelo LD, Sadek A, Buckley R, USIDNET Consortium. Combined Immunodeficiency in the United States and Kuwait: comparison of patients’characteristics and molecular diagnosis. Clin Immunol. 2015;161(2):170–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Wolach B, Gavrieli R, de Boer M, Gottesman G, Ben-Ari J, Rottem M, et al. Chronic granulomatous disease in Israel: clinical, functional and molecular studies of 38 patients. Clin Immunol. 2008;129:103–14.

    Article  CAS  PubMed  Google Scholar 

  21. Rawat A, Singh S, Suri D, Gupta A, Saikia B, Minz RW, et al. Chronic granulomatous disease: Two decades of experience from a tertiary care center in North West India. J Clin Immunol. 2014;34(1):58–67.

    Article  CAS  PubMed  Google Scholar 

  22. Winkelstein JA, Marino MC, Johnston RB, et al. Chronic granulomatous disease. Report on a national registry of 368 patients. Medicine (Baltimore). 2000;79:155–69.

    Article  CAS  Google Scholar 

  23. Gathmann B, Grimbacher B, Beaute J, Dudoit Y, Mahlaoui N, Fischer A, et al. The European internet-based patient and research database for primary immunodeficiencies: results 2006–2008. Clin Exp Immunol. 2009;157 Suppl 1:3–11.

    Article  PubMed  PubMed Central  Google Scholar 

  24. El-Garf A, Salah S, Iskander I, Salah H, Amin SN. MEFV mutations in Egyptian patients suffering from familial Mediterranean fever analysis of 12 gene mutations. Rheumatol Int. 2010;30(10):1293–8.

    Article  CAS  PubMed  Google Scholar 

  25. Galal N, Boutros J, Marsafy A, Kong XF, Feinberg J, Casanova JL, et al. Mendelian susceptibility to mycobacterial disease in Egyptian children. Mediterr J Hematol Infect Dis. 2012;4(1), e2012033.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Elloumi-Zghal H, Barbouche MR, Chemli J, Bejaoui M, Harbi A, Snoussi N, et al. Clinical and genetic heterogeneity of inherited autosomal recessive susceptibility to disseminated Mycobacterium bovis Bacille Calmette-Guérin infection. J Infect Dis. 2002;185:1468–75.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to acknowledge the following scientists for their valuable support and provision of expertise to aid the diagnosis of our children:

M. Baker, J. Bustamanate, J.L. Casanova, T. Freiberger, R. Geha, B. Grimbacher, J. Litzman, M. Masaad, A. Villa

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nermeen Galal.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Galal, N., Meshaal, S., Elhawary, R. et al. Patterns of Primary Immunodeficiency Disorders Among a Highly Consanguineous Population: Cairo University Pediatric Hospital’s 5-Year Experience. J Clin Immunol 36, 649–655 (2016). https://doi.org/10.1007/s10875-016-0314-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10875-016-0314-1

Keywords

Navigation