Immune insufficiency

Immunodeficiency, also known as immunosuppression, refers to a condition in which the immune system's ability to fight infections and diseases is impaired. This can lead to increased susceptibility to infections, which may be more frequent, severe, and last longer than in people with a normally functioning immune system. Immunodeficiency can be either primary (congenital) or secondary (acquired).

Primary immunodeficiency

Primary immunodeficiencies are genetically determined and present from birth. They result from defects in the genes responsible for the development and function of the immune system. There are over 300 known types of primary immunodeficiencies, which can vary greatly in severity. Some examples include:

  • Severe combined immunodeficiency (SCID) : A group of disorders characterized by a severe lack of T-cell function, resulting in extremely high susceptibility to infections.
  • IgA deficiency : The most common type of primary immunosuppression, characterized by low or absent levels of IgA (immunoglobulin A) in the blood, leading to increased susceptibility to infections of the respiratory tract and digestive system.

Secondary immunodeficiency

Secondary or acquired immunodeficiencies arise as a consequence of external factors or diseases that impair the immune system. Causes include:

  • HIV/AIDS : The Human Immunodeficiency Virus (HIV) attacks T helper cells, a critical component of the immune system, leading to acquired immunodeficiency syndrome (AIDS).
  • Cancer and cancer treatments : Certain types of cancer, such as leukemia and lymphomas, as well as treatments like chemotherapy and radiation therapy, can weaken the immune system.
  • Medications : Immunosuppressive drugs, which are used, for example, after organ transplants or to treat autoimmune diseases, can suppress the immune system.
  • Other diseases : Diabetes, severe malnutrition and chronic diseases can also lead to secondary immunosuppression.

Symptoms and treatment

The symptoms of immunosuppression can be varied, depending on the cause and severity, and include frequent or difficult-to-treat infections, delayed recovery from illness, weight loss, and general fatigue. Treatment aims to address the underlying cause of the immunosuppression, prevent or treat infections, and support the immune system. This may involve the use of immunoglobulin therapy, antimicrobial drugs, stem cell transplantation, or medication adjustments.

Important to note

If you experience signs of immunosuppression, it is important to seek medical help. Early diagnosis and treatment can help improve quality of life and reduce the risk of serious complications.

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