Combined immunodeficiency in the United States and Kuwait: Comparison of patients' characteristics and molecular diagnosis
Affiliations
Affiliations
- Department of Pediatrics, Faculty of Medicine, Kuwait University, Kuwait; Allergy & Clinical Immunology Unit, Pediatric Department, Al-Sabah Hospital, Kuwait. Electronic address: wemh@hotmail.com.
- Division of Immunology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
- Kuwait National Center for Health information, Kuwait.
- Departments of Pediatrics and Immunology, Duke University Medical Center, Durham, NC, United States.
Collaborators
- USIDNET Consortium:
Javeed Akhter, Zuhair K Ballas, Mark Ballow, Francisco A Bonilla, Karin Chen, Laurence E Cheng, Charlotte Cunningham-Rundles, Elizabeth Garabedian, Élie Haddad, Gary Kleiner, Hans D Ochs, Niraj Patel, Elizabeth A Secord, Christine Seroogy, Kathleen Sullivan, Burcin Uygungil
Abstract
Aim: To compare different variables among (S)CID patients diagnosed in the USA and Kuwait.
Methods: Review of patients registered in The US Immune Deficiency Network registry or Kuwait National PID Registry between 2004 and 2014.
Results: Totals of 98 and 69 (S)CID patients were registered during the study period in the USIDNET registry and the KNPIDR, respectively. The average annual incidence rate for the period 2004-2014 of (S)CID in children in Kuwait was 13.01/100,000 children, with an estimated occurrence of 1/7500 live births. There were differences between the two countries in the following variables: age at onset and diagnosis, family history of (S)CID, parental consanguinity, and outcome. More than 14% of (S)CID patients from USIDNET registry were diagnosed through newborn screening.
Conclusions: Patients' characteristics and molecular causes of S(CID) are different between USA and Kuwait. NBS for SCID should be started in countries where the incidence of (S)CID is high.
Keywords: Combined immunodeficiency; Epidemiology; Genetics; Incidence; Newborn screening; Prevalence; Registry.
References
https://pubmed.ncbi.nlm.nih.gov/