Clinical Study

Primary Immunodeficiency Diseases at Reference and High-Specialty Hospitals in the State of Guanajuato, Mexico

Table 2

Spectrum of PID at reference and high-specialty hospitals in the state of Guanajuato.

PIDStudy group
Method of diagnosis

Combined immunodeficiencies, (%)1 (3.85%)Decreased numbers of lymphocytes and immunoglobulins levels associated with opportunistic infections
Complement deficiencies, (%)1 (3.85%)Quantitative C1 inhibitor deficiency
Defects in innate immunity (%)1 (3.85%)
 Chronic mucocutaneous candidiasis1/1Phenotypic diagnosis: persistent mucocutaneous candidiasis
Congenital defects of phagocyte number and/or function2 (7.69%)
 Chronic granulomatous disease1/2Dihydrorhodamine (DHR) flow cytometry test
 Cyclic neutropenia1/2Low neutrophils count
Well-defined immunodeficiency syndromes, (%)3 (11.55%)
 Ataxia-telangiectasia1/3Syndromic features
 Chromosome 22q11.2 deletion syndrome1/3FISH test for 22q11 deletion
 Hyper-IgE syndrome1/3Syndromic features, NIH clinical feature scoring system
Predominantly antibody deficiency disease, (%)17 (65.38%)
 CVID8/17Low IgG and IgA and/or IgM
 X-linked agammaglobulinemia3/17Mutation in BTK. Severe reduction in all serum immunoglobulin isotypes with profoundly decreased or absent B cells
 Selective IgA deficiency2/17IgA decreased/absent
 Isolated IgG subclass deficiency2/17Reduction in one or more IgG subclass
 THI with normal numbers of B cells2/17IgG and IgA decreased

PID: primary immunodeficiency diseases; CVID: common variable immunodeficiency disorders; THI: transient hypogammaglobulinemia of infancy.