Evidence map›Paper›PMID 26464197›Full record

ReviewJournal of clinical immunology2015

Report of the Tunisian Registry of Primary Immunodeficiencies: 25-Years of Experience (1988-2012).

Fethi Mellouli, Imen Ben Mustapha, Monia Ben Khaled, Habib Besbes, Monia Ouederni, Najla Mekki, Meriem Ben Ali, Beya Larguèche, Mongia Hachicha, Tahar Sfar and 28 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

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  13. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors at 13 institutions in 1 country.

Fethi MellouliService d'immuno hématologie pédiatriques, Centre National de Greffe de Moelle Osseuse de Tunis, 13 Rue du Djebel Lakhdhar, 1006, Tunis, Tunisia. melloulif@yahoo.fr.
Imen Ben MustaphaFaculté de medicine de Tunis, Université El Manar II, Tunis, Tunisia.
Monia Ben KhaledService d'immuno hématologie pédiatriques, Centre National de Greffe de Moelle Osseuse de Tunis, 13 Rue du Djebel Lakhdhar, 1006, Tunis, Tunisia.
Habib BesbesService d'immuno hématologie pédiatriques, Centre National de Greffe de Moelle Osseuse de Tunis, 13 Rue du Djebel Lakhdhar, 1006, Tunis, Tunisia.
Monia OuederniService d'immuno hématologie pédiatriques, Centre National de Greffe de Moelle Osseuse de Tunis, 13 Rue du Djebel Lakhdhar, 1006, Tunis, Tunisia.
Najla MekkiFaculté de medicine de Tunis, Université El Manar II, Tunis, Tunisia.
Meriem Ben AliFaculté de medicine de Tunis, Université El Manar II, Tunis, Tunisia.
Beya LarguècheFaculté de medicine de Tunis, Université El Manar II, Tunis, Tunisia.
Mongia HachichaService de pédiatrie, hôpital de Sfax, Sfax, Tunisia.
Tahar SfarService de pédiatrie, hôpital de Mehdia, Mehdia, Tunisa.
Neji GueddicheService de pédiatrie, hôpital de Monastir, Monastir, Tunisia.
Siheme BarsaouiService de pédiatrie A, hôpital Bechir Hamza de Tunis, Tunis, Tunisia.
Azza SammoudService de pédiatrie B, hôpital Bechir Hamza de Tunis, Tunis, Tunisia.
Khadija BoussettaService de pédiatrie C, hôpital Bechir Hamza de Tunis, Tunis, Tunisia.
Saida Ben BecherService de pédiatrie PUC, hôpital Bechir Hamza de Tunis, Tunis, Tunisia.
Ahmed MeherziService de pédiatrie, hôpital Mongi Slim La Marsa, La Marsa, Tunisia.
Najoua GuandouraService de pédiatrie, hôpital de Bizerte, Bizerte, Tunisia.
Lamia BoughammouraService de pédiatrie, hôpital Farhat Hached de Sousse, Sousse, Tunisia.
Abdelaziz HarbiService de pédiatrie, hôpital Sahloul de Sousse, Sousse, Tunisia.
Fethi AmriService de pédiatrie, hôpital de Kairouan, Kairouan, Tunisia.
Fethi BayoudhService de pédiatrie, hôpital Militaire de Tunis, Tunis, Tunisia.
Najla Ben JaballahService de réanimation pédiatrique, hôpital Bechir Hamza de Tunis, Tunis, Tunisia.
Neji TebibService de pédiatrie, hôpital La Rabta de Tunis, Tunis, Tunisia.
Asma BouazizService de pédiatrie, hôpital de Nabeul, Nabeul, Tunisia.
Abdelmajid MahfoudhService de pédiatrie, hôpital de Sfax, Sfax, Tunisia.
Hajer AloulouService de pédiatrie, hôpital de Sfax, Sfax, Tunisia.
Lamia Ben MansourService de pédiatrie, hôpital de Sfax, Sfax, Tunisia.
Imen ChabchoubService de pédiatrie, hôpital de Sfax, Sfax, Tunisia.
Raoudha BoussoffaraService de pédiatrie, hôpital de Mehdia, Mehdia, Tunisa.
Jalel ChemliService de pédiatrie, hôpital Sahloul de Sousse, Sousse, Tunisia.
Jihène BouguilaService de pédiatrie, hôpital Farhat Hached de Sousse, Sousse, Tunisia.
Saida HassayounService de pédiatrie, hôpital Sahloul de Sousse, Sousse, Tunisia.
Saber HammamiService de pédiatrie, hôpital de Monastir, Monastir, Tunisia.
Zakia HabboulService de pédiatrie, hôpital de Monastir, Monastir, Tunisia.
Agnès HamzaouiService de pneumologie, hôpital l'Ariana de Tunis, Tunis, Tunisia.
Jamel AmmarService de pneumologie, hôpital l'Ariana de Tunis, Tunis, Tunisia.
Mohamed-Ridha BarboucheFaculté de medicine de Tunis, Université El Manar II, Tunis, Tunisia.
Mohamed BejaouiService d'immuno hématologie pédiatriques, Centre National de Greffe de Moelle Osseuse de Tunis, 13 Rue du Djebel Lakhdhar, 1006, Tunis, Tunisia.
University of Sfax · TNFaculté de médecine de TunisHôpital Sahloul · TNUniversity of Monastir · TNHôpital Farhat Hached · TNInstitut Pasteur de Tunis · TNTunis El Manar University · TNHôpital La Rabta · TNHôpital Mongi Slim · TNInstitut Supérieur des Études Technologiques de Nabeul · TNMilitary Hospital of Tunis · TNTunis University · TNUniversity of Kairouan · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary immunodeficiencies (PIDs) are a large group of diseases characterized by susceptibility to not only recurrent infections but also autoimmune diseases and malignancies. The aim of this study was to describe and analyze the distribution, clinical features and eventual outcome of PID among Tunisian patients.

methodsWe reviewed the record of 710 patients diagnosed with Primary Immunodeficiency Diseases (PIDs) from the registry of the Tunisian Referral Centre for PIDs over a 25-year period.

resultsThe male-to-female ratio was 1.4. The median age at the onset of symptoms was 6 months and at the time of diagnosis 2 years. The estimated prevalence was 4.3 per 100,000 populations. The consanguinity rate was found in 58.2 % of families. According to the International Union of Immunological Societies classification, spectrums of PIDs were as follows: combined T-cell and B-cell immunodeficiency disorders account for the most common category (28.6 %), followed by congenital defects of phagocyte (25.4 %), other well-defined immunodeficiency syndromes (22.7 %), predominant antibody deficiency diseases (17.7 %), diseases of immune dysregulation (4.8 %), defect of innate immunity (0.4 %) and complement deficiencies (0.4 %). Recurrent infections, particularly lower airway infections (62.3 %), presented the most common manifestation of PID patients. The overall mortality rate was 34.5 %, mainly observed with combined immunodeficiencies.

conclusionThe distribution of PIDs was different from that reported in Western countries, with a particularly high proportion of Combined Immunodeficiencies and phagocyte defects in number and/or function. More is needed to improve PID diagnosis and treatment in our country.

Indexed as

RegistriesAge of OnsetAntibodiesB-LymphocytesComplement System ProteinsConsanguinityFemaleHumansImmunologic Deficiency SyndromesInfantMalePrevalenceSurvival AnalysisT-LymphocytesTunisiaAntibodiesComplement System ProteinsdiagnosismanagementPrimary immunodeficienciestreatmentsTunisia

Identifiers

PMID26464197
OpenAlexW1931567285

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.