Clinical Warning Signs in Detecting Inborn Errors of Immunity in Children: A Diagnostic Accuracy Systematic Review

Traditional warning signs have good rule-in but poor rule-out value for pediatric IEI. Reliance on these signs alone risks delayed or missed diagnoses, particularly for noninfectious IEI phenotypes. Context-specific criteria and decision-support tools are needed to better capture the breadth of IEI presentations and support timely referral.

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Publication Details

Journal
The Journal of Allergy and Clinical Immunology In Practice
Published
2026-02-01
DOI
https://doi.org/10.1016/j.jaip.2026.01.026
Primary Topic
Immunodeficiency and Autoimmune Disorders
Type
article
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article

Clinical Warning Signs in Detecting Inborn Errors of Immunity in Children: A Diagnostic Accuracy Systematic Review

Svetlana Gadetskaya, Peter Hsu, Tanzil Islam, Julia Upton et al.
The Journal of Allergy and Clinical Immunology In Practice
Immunodeficiency and Autoimmune Disorders
article

Clinical Warning Signs in Detecting Inborn Errors of Immunity in Children: A Diagnostic Accuracy Systematic Review

Svetlana Gadetskaya, Peter Hsu, Tanzil Islam, Julia Upton, A. I. Asmanov, L. S. Fedorova, Diego Giampietro Peroni, А.А. Korsunskiy, Ann-Marie Malby Schoos, Ilya Korsunskiy, Liat Ashkenazi Hoffnung, Pasquale Comberiati, Ekaterina Iakovleva, Danilo Buonsenso, Isabel Jemide, Margarita Andreeva, Amina Aden
article en

Abstract

Traditional warning signs have good rule-in but poor rule-out value for pediatric IEI. Reliance on these signs alone risks delayed or missed diagnoses, particularly for noninfectious IEI phenotypes. Context-specific criteria and decision-support tools are needed to better capture the breadth of IEI presentations and support timely referral.

The Journal of Allergy and Clinical Immunology In Practice
Università Cattolica del Sacro Cuore (IT), University of Pisa (IT), University of British Columbia (CA), Sechenov University (RU), King's College London (GB), Sheba Medical Center (IL), Hospital for Sick Children (CA), Children's Hospital at Westmead (AU), Agostino Gemelli University Polyclinic (IT), Pirogov Russian National Research Medical University (RU), Schneider Children's Medical Center (IL), Meyer Children's Hospital (IT), Copenhagen Prospective Studies on Asthma in Childhood (DK), University of Florence (IT)
No poverty
Openalex Percentile: Top 70%
Immunodeficiency and Autoimmune Disorders
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Clinical Warning Signs in Detecting Inborn Errors of Immunity in Children: A Diagnostic Accuracy Systematic Review — Svetlana Gadetskaya, Peter Hsu, et al. · The Journal of Allergy and Clinical Immunology In Practice (2026) | TGRS Research Map | TGRS