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Inborn Errors of Immunity

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33 Table 10A. Management of Lung Disease Manifestation Associated IEI Intervention/ management Strength of recommendation Certainty of evidence Granulomatous and lymphocytic interstitial lung disease (GLILD) Antibody deficiency Combination treatment: B-cell− depleting therapy (e.g., rituximab) + antimetabolite therapy (mycophenolate mofetil or azathioprine) Strong Moderate High-dose corticosteroids Conditional Moderate Pneumatocele aer lung infection STAT3- HIES Antimicrobial treatment Strong Moderate Avoid surgical approach if possible Bronchiectasis Antibody deficiencies Avoid surgical approach if possible Strong Moderate Periodic, at least annual, imaging of lungs with high- resolution computed tomography (CT) scan Maintain high trough serum IgG levels Airway secretion clearance measures

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