Autoimmune and inflammatory manifestations occur frequently in patients with primary immunodeficiencies  Alain Fischer, MD, PhD, Johan Provot, MSc, Jean-Philippe.

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Presentation transcript:

Autoimmune and inflammatory manifestations occur frequently in patients with primary immunodeficiencies  Alain Fischer, MD, PhD, Johan Provot, MSc, Jean-Philippe Jais, MD, PhD, Alexandre Alcais, MD, PhD, Nizar Mahlaoui, MD, MSc, MPH Daniel Adoue, MD, Nathalie Aladjidi, MD, Zahir Amoura, MD, Philippe Arlet, MD, Corinne Armari-Alla, MD, Brigitte Bader-Meunier, MD, Vincent Barlogis, MD, Sophie Bayart, MD, Beatrice Beaurain, BS, Yves Bertrand, MD, PhD, Boris Bienvenu, MD, Stéphane Blanche, MD, Damien Bodet, MD, Bernard Bonnotte, MD, Raphaël Borie, MD, Patrick Boutard, MD, Claire Briandet, MD, Jean-Paul Brion, MD, Carolina Brito, MSc, Jacques Brouard, MD, Emilie Catherinot, MD, PhD, Olivia Chandesris, MD, Sarah Cohen-Beaussant, MD, Hélène Coignard-Biehler, MD, Laurence Costes, BS, Louis-Jean Couderc, MD, Gérard Couillault, MD, Virginie Courteille, BS, Elodie Curlier, MD, Geneviève de Saint Basile, MD, PhD, François Demeocq, MD, Nathalie de Vergnes, BS, Catherine Devoldere, MD, Anne Deville, MD, Jean Donadieu, MD, Eric Dore, MD, Fabienne Dulieu, MD, Isabelle Durieu, MD, Christine Edan, MD, Natacha Entz Werle, MD, Claire Fieschi, MD, PhD, Fanny Fouyssac, MD, Pierre Frange, MD, PhD, Vincent Gajdos, MD, PhD, Lionel Galicier, MD, Virginie Gandemer, MD, PhD, Martine Gardembas, MD, Catherine Gaud, MD, Bernard Grosbois, MD, Gaelle Guillerm, MD, Eric Hachulla, MD, Mohamed Hamidou, MD, Sébastien Héritier, MD, Olivier Hermine, MD, PhD, Cyrille Hoarau, MD, Bruno Hoen, MD, Arnaud Hot, MD, PhD, Sébastien Humbert, MD, Arnaud Jaccard, MD, Serge Jacquot, MD, Jean-Philippe Jais, MD, PhD, Rolland Jaussaud, MD, Pierre- Yves Jeandel, MD, Eric Jeziorski, MD, PhD, Kamila Kebaili, MD, Anne-Sophie Korganow, MD, Philippe Labrune, MD, Olivier Lambotte, MD, PhD, Fanny Lanternier, MD, PhD, Claire Larroche, MD, Alain Le Quellec, MD, Emmanuelle Le Moigne, MD, Vincent Le Moing, MD, Yvon Lebranchu, MD, Marc Lecuit, MD, PhD, Guillaume Lefevre, MD, Richard Lemal, MD, Philippe Le Moine, MD, Valérie Li Thiao Te, MD, Olivier Lortholary, MD, PhD, Patrick Lutz, MD, Aude Magerus-Chatinet, PhD, Marion Malphettes, MD, Aude Marie-Cardine, MD, Nicolas Martin Silva, MD, Agathe Masseau, MD, Christian Massot, MD, Françoise Mazingue, MD, Etienne Merlin, MD, Gérard Michel, MD, Frédéric Millot, MD, Odile Minckes, MD, Béatrice Monlibert, MD, Fabrice Monpoux, MD, PhD, Despina Moshous, MD, PhD, Luc Mouthon, MD, Martine Munzer, MD, Bénédicte Neven, MD, PhD, Raphaëlle Nove-Josserand, MD, Eric Oksenhendler, MD, PhD, Marie Ouachée-Chardin, MD, Anne Pagnier, MD, Jean-Louis Pasquali, MD, PhD, Marlène Pasquet, MD, Isabelle Pellier, MD, PhD, Yves Perel, MD, Antoinette Perlat, MD, Capucine Picard, MD, PhD, Christophe Piguet, MD, Dominique Plantaz, MD, Pierre Quartier, MD, Frédéric Rieux-Laucat, PhD, Pascal Roblot, MD, Pierre-Marie Roger, MD, Pierre-Simon Rohrlich, MD, Bruno Royer, MD, Valéry Salle, MD, Françoise Sarrot-Reynauld, MD, Amélie Servettaz, MD, Jean-Louis Stephan, MD, Nicolas Schleinitz, MD, Felipe Suarez, MD, PhD, Laure Swiader, MD, Sophie Taque, MD, Caroline Thomas, MD, Olivier Tournilhac, MD, Caroline Thumerelle, MD, Jean-Pierre Vannier, MD, Jean-François Viallard, MD Alain Fischer, MD, PhD, Johan Provot, MSc, Jean-Philippe Jais, MD, PhD, Alexandre Alcais, MD, PhD, Nizar Mahlaoui, MD, MSc, MPH Daniel Adoue, MD, Nathalie Aladjidi, MD, Zahir Amoura, MD, Philippe Arlet, MD, Corinne Armari-Alla, MD, Brigitte Bader-Meunier, MD, Vincent Barlogis, MD, Sophie Bayart, MD, Beatrice Beaurain, BS, Yves Bertrand, MD, PhD, Boris Bienvenu, MD, Stéphane Blanche, MD, Damien Bodet, MD, Bernard Bonnotte, MD, Raphaël Borie, MD, Patrick Boutard, MD, Claire Briandet, MD, Jean-Paul Brion, MD, Carolina Brito, MSc, Jacques Brouard, MD, Emilie Catherinot, MD, PhD, Olivia Chandesris, MD, Sarah Cohen-Beaussant, MD, Hélène Coignard-Biehler, MD, Laurence Costes, BS, Louis-Jean Couderc, MD, Gérard Couillault, MD, Virginie Courteille, BS, Elodie Curlier, MD, Geneviève de Saint Basile, MD, PhD, François Demeocq, MD, Nathalie de Vergnes, BS, Catherine Devoldere, MD, Anne Deville, MD, Jean Donadieu, MD, Eric Dore, MD, Fabienne Dulieu, MD, Isabelle Durieu, MD, Christine Edan, MD, Natacha Entz Werle, MD, Claire Fieschi, MD, PhD, Fanny Fouyssac, MD, Pierre Frange, MD, PhD, Vincent Gajdos, MD, PhD, Lionel Galicier, MD, Virginie Gandemer, MD, PhD, Martine Gardembas, MD, Catherine Gaud, MD, Bernard Grosbois, MD, Gaelle Guillerm, MD, Eric Hachulla, MD, Mohamed Hamidou, MD, Sébastien Héritier, MD, Olivier Hermine, MD, PhD, Cyrille Hoarau, MD, Bruno Hoen, MD, Arnaud Hot, MD, PhD, Sébastien Humbert, MD, Arnaud Jaccard, MD, Serge Jacquot, MD, Jean-Philippe Jais, MD, PhD, Rolland Jaussaud, MD, Pierre-Yves Jeandel, MD, Eric Jeziorski, MD, PhD, Kamila Kebaili, MD, Anne-Sophie Korganow, MD, Philippe Labrune, MD, Olivier Lambotte, MD, PhD, Fanny Lanternier, MD, PhD, Claire Larroche, MD, Alain Le Quellec, MD, Emmanuelle Le Moigne, MD, Vincent Le Moing, MD, Yvon Lebranchu, MD, Marc Lecuit, MD, PhD, Guillaume Lefevre, MD, Richard Lemal, MD, Philippe Le Moine, MD, Valérie Li Thiao Te, MD, Olivier Lortholary, MD, PhD, Patrick Lutz, MD, Aude Magerus-Chatinet, PhD, Marion Malphettes, MD, Aude Marie-Cardine, MD, Nicolas Martin Silva, MD, Agathe Masseau, MD, Christian Massot, MD, Françoise Mazingue, MD, Etienne Merlin, MD, Gérard Michel, MD, Frédéric Millot, MD, Odile Minckes, MD, Béatrice Monlibert, MD, Fabrice Monpoux, MD, PhD, Despina Moshous, MD, PhD, Luc Mouthon, MD, Martine Munzer, MD, Bénédicte Neven, MD, PhD, Raphaëlle Nove-Josserand, MD, Eric Oksenhendler, MD, PhD, Marie Ouachée-Chardin, MD, Anne Pagnier, MD, Jean-Louis Pasquali, MD, PhD, Marlène Pasquet, MD, Isabelle Pellier, MD, PhD, Yves Perel, MD, Antoinette Perlat, MD, Capucine Picard, MD, PhD, Christophe Piguet, MD, Dominique Plantaz, MD, Pierre Quartier, MD, Frédéric Rieux-Laucat, PhD, Pascal Roblot, MD, Pierre-Marie Roger, MD, Pierre-Simon Rohrlich, MD, Bruno Royer, MD, Valéry Salle, MD, Françoise Sarrot-Reynauld, MD, Amélie Servettaz, MD, Jean-Louis Stephan, MD, Nicolas Schleinitz, MD, Felipe Suarez, MD, PhD, Laure Swiader, MD, Sophie Taque, MD, Caroline Thomas, MD, Olivier Tournilhac, MD, Caroline Thumerelle, MD, Jean-Pierre Vannier, MD, Jean-François Viallard, MD  Journal of Allergy and Clinical Immunology  Volume 140, Issue 5, Pages 1388-1393.e8 (November 2017) DOI: 10.1016/j.jaci.2016.12.978 Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Cumulative incidence of autoimmune/inflammatory manifestations in patients with PIDs as a function of age. Data are from 1678 patients for whom age at onset of first manifestation was recorded. Dotted lines indicate ± 2 SDs. Journal of Allergy and Clinical Immunology 2017 140, 1388-1393.e8DOI: (10.1016/j.jaci.2016.12.978) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Cumulative incidence of autoimmunity/inflammatory manifestations in patients with PIDs as a function of the PID disease group. Journal of Allergy and Clinical Immunology 2017 140, 1388-1393.e8DOI: (10.1016/j.jaci.2016.12.978) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Probability of survival of patients with PIDs as a function of the occurrence of autoimmune/inflammatory manifestations. Journal of Allergy and Clinical Immunology 2017 140, 1388-1393.e8DOI: (10.1016/j.jaci.2016.12.978) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 4 Probability of survival of patients with PIDs after HSCT, according to the presence or absence of pre-existing autoimmunity/inflammation. Journal of Allergy and Clinical Immunology 2017 140, 1388-1393.e8DOI: (10.1016/j.jaci.2016.12.978) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 Cumulative incidence of cytopenia, rheumatologic disorders, and autoimmune gastrointestinal manifestations as a function of age. A, Autoimmune cytopenia. B, Rheumatologic disorders. C, Gastrointestinal disorders. Journal of Allergy and Clinical Immunology 2017 140, 1388-1393.e8DOI: (10.1016/j.jaci.2016.12.978) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E2 Survival of PID patients with CVID (A), other B-cell PIDs (B), T-cell PIDs (C), and innate PIDs (D) as a function of the occurrence of autoimmunity/inflammation. Journal of Allergy and Clinical Immunology 2017 140, 1388-1393.e8DOI: (10.1016/j.jaci.2016.12.978) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions