Transplantation to save the life, TSH screening to save the brain: A report and brief literature review of autoimmune thyroid disease after HSCT for severe combined immunodeficiency.


Journal

Clinical immunology (Orlando, Fla.)
ISSN: 1521-7035
Titre abrégé: Clin Immunol
Pays: United States
ID NLM: 100883537

Informations de publication

Date de publication:
12 2022
Historique:
received: 25 05 2022
revised: 07 09 2022
accepted: 10 09 2022
pubmed: 2 10 2022
medline: 26 11 2022
entrez: 1 10 2022
Statut: ppublish

Résumé

Autoimmune thyroid disease has been described as a complication of HSCT for different indications and as a manifestation of inborn errors of immunity, like SCID. A 1-month female was diagnosed with RAG1-mutated SCID and received allogenic HSCT. She developed autoimmune hypothyroidism 5 months after transplantation and was treated with levo-thyroxine with a good response. Autoimmune thyroid disease can develop after HSCT during the immune reconstitution phase, leading to potentially severe neurological and growth impairment, particularly in SCID patients, often transplanted during the first year of life. Recommendations regarding early and frequent vigilance for thyroid function are needed in these patients.

Identifiants

pubmed: 36182049
pii: S1521-6616(22)00223-6
doi: 10.1016/j.clim.2022.109142
pii:
doi:

Substances chimiques

Thyrotropin 9002-71-5

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

109142

Informations de copyright

Copyright © 2022. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None of the authors has any potential financial conflict of interest related to this manuscript.

Auteurs

F Baccelli (F)

Specialty School of Paediatrics, University of Bologna, Italy.

R Ortolano (R)

Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

F Conti (F)

Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy. Electronic address: f.conti369@gmail.com.

E Soncini (E)

Paediatric Bone Marrow Transplant and Oncohaematology Unit, ASST Spedali Civili, Brescia, Italy.

F Baronio (F)

Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

R Masetti (R)

Pediatric Oncology and Hematology Unit "Lalla Seràgnoli", IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

S Ferrari (S)

Medical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

A Cassio (A)

Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

A Pession (A)

Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

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Classifications MeSH