ตารางที่ 2 ลักษณะเด่นของ ภาวะภูมิคุ้มกันบกพร่องชนิดปฐมภูมิ แยกตามชนิดของภูมิคุ้มกัน (4)
Characteristic
Predominant
T-Cell Defect
Predominant
B-Cell Defect
Granulocyte Defect
Complement Defect
Age at the onset of infection Early onset, usually 2-6 mo of age Onset after maternal antibodies diminish, usually after 5-7 mo of age, later childhood to adulthood Early onset Onset at any age
Specific pathogens involved Bacteria: mycobacteria Bacteria: streptococci, staphylococci, Haemophilus, Campylobacter Bacteria: staphylococci, Pseudomonas, Serratia, Klebsiella Bacteria: Neisseria, Escherichia coli
  Viruses: CMV, EBV, varicella, enterovirus Viruses: enterovirus (XLA)    
  Fungi and parasites: Candida; opportunistic infection, PCP Fungi and parasites: giardia, cryptosporidia Fungi and parasites: Candida; Nocardia, Aspergillus  
Affected organs Failure to thrive, protracted diarrhea, extensive mucocutaneous candidiasis Recurrent sinopulmonary infections, chronic gastrointestinal symptoms, malabsorption, arthritis, enteroviral meningoencephalitis Skin: Dermatitis, impetigo, cellulitis Infections: meningitis, arthritis, septicemia, recurrent sinopulmonary infections
      Lymph nodes: suppurative adenitis  
      Oral cavity: periodontitis, ulcers, internal organ abscesses, osteomyelitis  
Special features Graft-versus-host disease caused by maternal engraftment or nonirradiated blood transfusion; Postvaccination, disseminated BCG or paralytic polio; hypocalcemic tetany in infancy (DiGeorge anomaly) Autoimmunity, lymphoreticular malignancy: lymphoma, thymoma; postvaccination paralytic polio Prolonged attachment of umbilical cord, poor wound healing Rheumatoid disorders: SLE, vasculitis, dermatomyositis, scleroderma, glomerulonephritis, angioedema
CMV = cytomegalovirus; EBV = Epstein-Barr virus; PCP = Pneumocystis carinii;
BCG = bacille Calmette-Guerin; SLE = systemic lupus erythematosus.