PMID- 32447865 OWN - NLM STAT- MEDLINE DCOM- 20210601 LR - 20210601 IS - 2448-9190 (Electronic) IS - 0002-5151 (Linking) VI - 67 IP - 1 DP - 2020 Jan-Mar TI - [Chronic kidney disease in adults with primary immunodeficiency diseases in treatment with intravenous immunoglobulin]. PG - 25-33 LID - 10.29262/ram.v67i1.707 [doi] AB - BACKGROUND: Intravenous immunoglobulin (IVIG) is the treatment of choice for humoral primary immunodeficiency diseases (PIDs). A third of the patients who receive intravenous immunoglobulin have adverse reactions, such as osmotic nephrosis. OBJECTIVE: To assess the presence of kidney disease in adults with humoral PIDs, in treatment with intravenous immunoglobulin. METHODS: A cross-sectional, descriptive, and observational study of patients who belong to the PID Clinic of the Specialties Hospital of the National Medical Center "Siglo XXI", Mexico City, who receive treatment with intravenous immunoglobulin. A questionnaire with demographic information, 24h urine creatinine clearance, serum creatinine, urea, and BUN (Blood Urea Nitrogen) was applied. RESULTS: 35 patients were surveyed; 65.7 % were women; the average age was 34 years; 51.4 % of the patients presented kidney damage. Those with > 5 years of treatment with intravenous immunoglobulin presented chronic kidney disease (CKD) with more frequency (55.6 %) according to the KDOQI scale. CONCLUSIONS: Chronic kidney disease occurs in 51 % of adult patients with PID who have been treated with intravenous immunoglobulin for more than 5 years; which is why these patients require periodic evaluations of their kidney function, and the use of sugar-free immunoglobulin in order to reduce the risk. FAU - O'Farrill-Romanillos, Patricia Maria AU - O'Farrill-Romanillos PM AD - Instituto Mexicano del Seguro Social, Centro Medico Nacional Siglo XXI, Hospital de Especialidades, Servicio de Alergia e Inmunologia Clinica, Ciudad de Mexico, Mexico. patyfritzenwalden@hotmail.com. FAU - Luna-Mujica, Ramon Fabricio AU - Luna-Mujica RF FAU - Contreras-Garcia, Carlos Eduardo AU - Contreras-Garcia CE FAU - Anda, Juan Carlos AU - Anda JC LA - spa PT - Journal Article PT - Observational Study TT - Enfermedad renal cronica en adultos con inmunodeficiencias primarias en tratamiento con inmunoglobulina intravenosa. PL - Mexico TA - Rev Alerg Mex JT - Revista alergia Mexico (Tecamachalco, Puebla, Mexico : 1993) JID - 9438824 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - Immunoglobulins, Intravenous/*adverse effects/therapeutic use MH - Male MH - Middle Aged MH - Primary Immunodeficiency Diseases/*drug therapy MH - Renal Insufficiency, Chronic/*chemically induced MH - Young Adult OTO - NOTNLM OT - Chronic renal failure OT - Common variable immunodeficiencies OT - Humoral immune response OT - Intravenous immunoglobulin EDAT- 2020/05/25 06:00 MHDA- 2021/06/02 06:00 CRDT- 2020/05/25 06:00 PHST- 2020/05/25 06:00 [entrez] PHST- 2020/05/25 06:00 [pubmed] PHST- 2021/06/02 06:00 [medline] AID - 10.29262/ram.v67i1.707 [doi] PST - ppublish SO - Rev Alerg Mex. 2020 Jan-Mar;67(1):25-33. doi: 10.29262/ram.v67i1.707.