2016, Número 3
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Rev Cubana Hematol Inmunol Hemoter 2016; 32 (3)
Inmunodeficiencia variable común y déficit selectivo de inmunoglobulina A en pacientes celiacos
La Rosa HD, Sánchez CN, Villa JO, Gómez CEJ
Idioma: Español
Referencias bibliográficas: 42
Paginas: 394-402
Archivo PDF: 69.21 Kb.
RESUMEN
La enfermedad celíaca (EC) es una de las enfermedades autoinmunes
gastrointestinales que con más frecuencia se asocia a inmunodeficiencias primarias
(IDP) como el déficit selectivo de IgA y la inmunodeficiencia variable común (IDVC). A
propósito del vínculo entre IDP y celiaquía, se presentan dos pacientes femeninas
diagnosticadas como celíacas con formas de presentación diferentes y compromiso
inmunonutricional variable. Las bajas concentraciones de inmunoglobulina G (IgG) y
la ausencia de IgA fueron los principales hallazgos humorales registrados, no se
evidenció compromiso de células B y T, de acuerdo a la cuantificación de
subpoblaciones linfoides por citometria de flujo. La intervención nutricional e
inmunológica permitió la remisión de las manifestaciones clínicas y la evolución
satisfactoria en ambos casos.
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