Evolving practice: X-linked agammaglobulinemia and lung transplantation

Am J Transplant. 2015 Apr;15(4):1110-3. doi: 10.1111/ajt.13084. Epub 2015 Mar 3.

Abstract

X-linked agammaglobulinemia (XLA) is a rare primary humoral immunodeficiency syndrome characterized by agammaglobulinemia, recurrent infections and bronchiectasis. Despite the association with end-stage bronchiectasis, the literature on XLA and lung transplantation is extremely limited. We report a series of 6 XLA patients with bronchiectasis who underwent lung transplantation. Short-term outcomes were excellent however long-term outcomes were disappointing with a high incidence of pulmonary sepsis and chronic lung allograft dysfunction (CLAD).

Keywords: clinical research; immune modulation; immunosuppression; immunosuppressive regimens; lung transplantation; practice; pulmonology, rejection: chronic.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Agammaglobulinemia / physiopathology*
  • Genetic Diseases, X-Linked / physiopathology*
  • Humans
  • Lung Transplantation*
  • Male
  • Middle Aged

Supplementary concepts

  • Bruton type agammaglobulinemia