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Impulse oscillometry identifies peripheral airway dysfunction in children with adenosine deaminase deficiency.


ABSTRACT: Adenosine deaminase-deficient severe combined immunodeficiency (ADA-SCID) is characterized by impaired T-, B- and NK-cell function. Affected children, in addition to early onset of infections, manifest non-immunologic symptoms including pulmonary dysfunction likely attributable to elevated systemic adenosine levels. Lung disease assessment has primarily employed repetitive radiography and effort-dependent functional studies. Through impulse oscillometry (IOS), which is effort-independent, we prospectively obtained objective measures of lung dysfunction in 10 children with ADA-SCID. These results support the use of IOS in the identification and monitoring of lung function abnormalities in children with primary immunodeficiencies.

SUBMITTER: Komarow HD 

PROVIDER: S-EPMC4683718 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Impulse oscillometry identifies peripheral airway dysfunction in children with adenosine deaminase deficiency.

Komarow Hirsh D HD   Sokolic Robert R   Hershfield Michael S MS   Kohn Donald B DB   Young Michael M   Metcalfe Dean D DD   Candotti Fabio F  

Orphanet journal of rare diseases 20151218


Adenosine deaminase-deficient severe combined immunodeficiency (ADA-SCID) is characterized by impaired T-, B- and NK-cell function. Affected children, in addition to early onset of infections, manifest non-immunologic symptoms including pulmonary dysfunction likely attributable to elevated systemic adenosine levels. Lung disease assessment has primarily employed repetitive radiography and effort-dependent functional studies. Through impulse oscillometry (IOS), which is effort-independent, we pro  ...[more]

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