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International consensus statement on routine blood testing in primary ciliary dyskinesia

  • Sarah Altaraihi*
  • , June K Marthin
  • , Pinelopi Anagnostopoulou
  • , Mieke Boon
  • , Siobhan B Carr
  • , Silvia Castillo-Corullón
  • , Eleonora Dehlink
  • , Damien M S Destouches
  • , Jamie Duckers
  • , Eric G Haarman
  • , Bülent Karadag
  • , Christina Kavouridou
  • , Michael R Loebinger
  • , Bernard Maitre
  • , Henryk Mazurek
  • , Lucy Morgan
  • , Heymut Omran
  • , Ugur Ozcelik
  • , Daniel Peckam
  • , Massimo Pifferi
  • Petr Pohunek, Tavs Qvist, Johanna Raidt, Phillipe Reix, Felix C Ringshausen, Phil Robinson, Evie Robson, Jobst Röhmel, Francesca Santamaria, Anne Schlegtendal, Nicola Ullmann, Woolf Walker, Panayiotis Yiallouros, Guillaume Thouvenin, Suzanne Crowley, Kim G Nielsen
*Corresponding author af dette arbejde
5 Citationer (Scopus)

Abstract

BACKGROUND: Primary ciliary dyskinesia (PCD) is a rare genetic disorder characterised by dysfunction of motile cilia. Symptoms include recurrent and chronic airway infections which can lead to deteriorating lung function and inflammatory destructive lung disease in the form of persistent atelectasis and bronchiectasis. Routine blood testing may be used as a tool for disease monitoring and management. However, currently there are no consensus-based guidelines within the field of PCD. BEAT-PCD together with the ERN-LUNG PCD-Clinical Trial Network aimed to develop an international expert consensus statement on which routine blood tests should be conducted in patients with PCD.

METHODS: An international panel of 33 PCD experts from 17 countries was established to generate consensus on routine blood testing in PCD. A modified Delphi technique with three e-survey rounds was used to reach consensus, which was defined as ≥80% agreement for each statement. Two patient representatives were included in the consensus process.

RESULTS: The expert panel reached consensus on 51 out of 101 statements (50%) on routine blood testing in children and adults with PCD to be performed at diagnosis, annually and on exacerbation. The statements include biomarkers for inflammation, haemoglobin, iron status, vitamin D, immune function, inhalant allergies, liver and kidney function, and allergic bronchopulmonary aspergillosis.

CONCLUSIONS: This is the first international consensus on routine blood testing in PCD. It highlights blood tests that may be relevant to perform at diagnosis, annually and on exacerbation in people with PCD. Further research on the clinical usefulness of routine blood testing in PCD is needed.

OriginalsprogEngelsk
Artikelnummer01071-2024
TidsskriftERJ Open Research
Vol/bind11
Udgave nummer3
ISSN2312-0541
DOI
StatusUdgivet - maj 2025

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