Der primäre Immundefekt – ein praktischer Leitfaden für den Kinderarzt
Dr med. Tiphaine Arlabosse, Unité d’immunologie, allergologie et rhumatologie pédiatrique, Service de Pédiatrie, Département Femme-Mère-Enfant, CHUV, Lausanne Dr med. Katerina Theodoropoulou, Unité d’immunologie, allergologie et rhumatologie pédiatrique, Service de Pédiatrie, Département Femme-Mère-Enfant, CHUV, Lausanne Prof. Dr med. Fabio Candotti, Service d’immunologie et allergie, CHUV et UNIL, Lausanne DOI: 10.35190/Paediatrica.d.2022.2.5
Einleitung
Es ist nicht einfach, im Verlaufe des ersten Lebensjahres, normale Infektionen
von ungewöhnlichen zu unterscheiden. Das Immunsystem befindet sich in voller Entwicklung und Kinder sind einer grossen Anzahl Keime ausgesetzt, insbesondere bei kollektiver Betreuung. Ziel dieses Artikels ist es, die Elemente herauszuarbeiten, die an einen primären Immundefekt denken lassen, entsprechende Laborabklärungen vorzuschlagen und zu begründen, sowie einige Punkte hinsichtlich der Betreuung von Patienten mit einem Immundefekt darzulegen, da der Kinderarzt in der Erstversorgung eine zentrale Rolle einnimmt. Auf sekundäre Immundefekte, medikamentösen oder infektiösen Ursprungs, wird hier nicht eingegangen.
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