Therapy features of interstitial lymphocytic lung disease (ILLD) in patients with immune dysregulation syndromes: case report

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Abstract

Immune dysregulation syndromes (CTLA4 and LRBA deficiency) belong to the combined primary immunodeficiencies with defective tolerance due to lack of T regulatory lymphocytes function and resulting autoimmune complications. One of them is interstitial lymphocytic lung disease (ILLD), caused by pathologic bronchi-associated lymphoid tissue hyperplasia, progressive loss of lung function and decreased life expectancy. ILLD diagnosis is based on pathomorphological lung changes and radiologic symptoms. Targeted therapy with Abatacept in patients with immune dysregulation syndromes provides control of the autoimmune complications, including ILLD and is well tolerated. Here we demonstrate two cases of patients with immune dysregulation syndromes and ILLD treated with Abatacept.

About the authors

Y. A. Rodina

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Author for correspondence.
Email: rodina.julija@rambler.ru
ORCID iD: 0000-0001-9857-4456

Julia A. Rodina, MD, allergologisimmunologist of the Immunology Department

117997, Moscow, Samory Mashela st., 1

Russian Federation

A. L. Horeva

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Russian Federation

I. N. Abramova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Russian Federation

O. A. Shvets

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0001-5347-7150
Russian Federation

V. I. Burlakov

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Russian Federation

G. V. Tereshenko

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0001-7317-7104
Russian Federation

D. S. Abramov

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0003-3664-2876
Russian Federation

E. V. Deripapa

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0002-9083-4783
Russian Federation

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Copyright (c) 2018 Rodina Y.A., Horeva A.L., Abramova I.N., Shvets O.A., Burlakov V.I., Tereshenko G.V., Abramov D.S., Deripapa E.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.