Inborn errors of immunity: a structured model for paediatric-to-adult transition of care
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By
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Adele Civino
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Federico Diomeda
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Concetta D’Orio
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Stefania Antonacci
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Giulia Loiacono
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Angelo Vacca
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Baldassarre Martire
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May 11, 2026
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Clinical Scorecard: A Framework for Transitioning Care from Pediatric to Adult Services in Patients with Inborn Errors of Immunity
At a Glance
| Category | Detail |
| Condition | Inborn Errors of Immunity (IEI) |
| Key Mechanisms | Genetic anomalies affecting immune system function, leading to immune dysfunction and increased susceptibility to infections. |
| Target Population | Pediatric patients with Inborn Errors of Immunity transitioning to adult care. |
| Care Setting | Multidisciplinary healthcare environments, including both pediatric and adult services. |
Key Highlights
- Transition planning should begin around age 14 with a multidisciplinary team.
- Standardized clinical documentation and transition reports are essential.
- Monitoring of infection rates and patient-reported quality of life is crucial.
- Immunoglobulin replacement therapy options include intravenous, subcutaneous, and facilitated subcutaneous methods.
- Empowerment of patients and caregivers is a fundamental element of the transition process.
Guideline-Based Recommendations
Diagnosis
- Early identification of patients suited for transition is critical.
Management
- Implement a structured, multidisciplinary transition protocol.
Monitoring & Follow-up
- Regular evaluation of individual needs and follow-up adherence.
Risks
- Insufficient transition practices can lead to medical complications and diminished long-term outcomes.
Patient & Prescribing Data
Individuals with Inborn Errors of Immunity transitioning from pediatric to adult care.
Immunoglobulin replacement therapy should be tailored based on patient requirements and developmental stage.
Clinical Best Practices
- Establish a dedicated multidisciplinary team for continuity of care.
- Ensure efficient communication between pediatric and adult healthcare providers.
- Address psychosocial difficulties during the transition process.
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