The course of infectious arthritis in a patient with hypogammaglobulinemia

Hypogammaglobulinemia is a condition caused by low levels of immunoglobulins in the blood serum. It can be a manifestation of primary immunodeficiency, characterized by a violation of the production of immunoglobulins, in particular common variable immunodeficiency (CVID). A typical clinical sign of...

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Main Authors: E. A. Savchenko, P. A. Glazunov, S. S. Bunova, E. V. Zhilyaev
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2022-08-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/1323
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author E. A. Savchenko
P. A. Glazunov
S. S. Bunova
E. V. Zhilyaev
author_facet E. A. Savchenko
P. A. Glazunov
S. S. Bunova
E. V. Zhilyaev
author_sort E. A. Savchenko
collection DOAJ
description Hypogammaglobulinemia is a condition caused by low levels of immunoglobulins in the blood serum. It can be a manifestation of primary immunodeficiency, characterized by a violation of the production of immunoglobulins, in particular common variable immunodeficiency (CVID). A typical clinical sign of CVID is various severe infections, among which infectious arthritis is not uncommon. At the same time, the clinical picture of infections can differ significantly from that in individuals with a normal immune response, including the spectrum of infectious arthritis pathogens.The article describes a clinical case of an unusual course of infectious arthritis in a patient with newly diagnosed hypogammaglobulinemia. The peculiar features of the case were a long (more than 1.5 years) course of the disease, without the development of septic complications, no increase in ESR and CRP, recurrence of arthritis after a 2-month course of antibiotic therapy, and the presence of generalized edema. The causes and diagnosis, features of infectious complications, including infectious arthritis, and probable causes of edematous syndrome in CVID are discussed.
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2310-158X
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series Современная ревматология
spelling doaj-art-2ab03043cd73467f937962bd4f4e096f2025-08-20T03:20:59ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2022-08-01164576210.14412/1996-7012-2022-4-57-622500The course of infectious arthritis in a patient with hypogammaglobulinemiaE. A. Savchenko0P. A. Glazunov1S. S. Bunova2E. V. Zhilyaev3Pirogov Russian National Research Medical University, Ministry of Health of RussiaJSC "European Medical Center"JSC "European Medical Center"; Belgorod State National Research UniversityPirogov Russian National Research Medical University, Ministry of Health of Russia; JSC "European Medical Center"; Russian Medical Academy of Continuing Professional EducationHypogammaglobulinemia is a condition caused by low levels of immunoglobulins in the blood serum. It can be a manifestation of primary immunodeficiency, characterized by a violation of the production of immunoglobulins, in particular common variable immunodeficiency (CVID). A typical clinical sign of CVID is various severe infections, among which infectious arthritis is not uncommon. At the same time, the clinical picture of infections can differ significantly from that in individuals with a normal immune response, including the spectrum of infectious arthritis pathogens.The article describes a clinical case of an unusual course of infectious arthritis in a patient with newly diagnosed hypogammaglobulinemia. The peculiar features of the case were a long (more than 1.5 years) course of the disease, without the development of septic complications, no increase in ESR and CRP, recurrence of arthritis after a 2-month course of antibiotic therapy, and the presence of generalized edema. The causes and diagnosis, features of infectious complications, including infectious arthritis, and probable causes of edematous syndrome in CVID are discussed.https://mrj.ima-press.net/mrj/article/view/1323hypogammaglobulinemiacommon variable immune deficiencyinfectious arthritiswidespread edema
spellingShingle E. A. Savchenko
P. A. Glazunov
S. S. Bunova
E. V. Zhilyaev
The course of infectious arthritis in a patient with hypogammaglobulinemia
Современная ревматология
hypogammaglobulinemia
common variable immune deficiency
infectious arthritis
widespread edema
title The course of infectious arthritis in a patient with hypogammaglobulinemia
title_full The course of infectious arthritis in a patient with hypogammaglobulinemia
title_fullStr The course of infectious arthritis in a patient with hypogammaglobulinemia
title_full_unstemmed The course of infectious arthritis in a patient with hypogammaglobulinemia
title_short The course of infectious arthritis in a patient with hypogammaglobulinemia
title_sort course of infectious arthritis in a patient with hypogammaglobulinemia
topic hypogammaglobulinemia
common variable immune deficiency
infectious arthritis
widespread edema
url https://mrj.ima-press.net/mrj/article/view/1323
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