Presentation
In order to achieve this goal, about 90 cases drawn from real life are presented, along with approximately 300 related questions. [books.google.com]
Most common presentation of the disease is otitis media and infections of the upper respiratory airways (sinusitis and pneumonia). Conjunctivitis, chronic recurrent diarrhea, and skin infections are also common. [clinicaladvisor.com]
Snapshot A 6-year-old boy presents to the hospital with a severe upper respiratory infection requiring hospitalization. [medbullets.com]
and autoimmune disorders may be present. [merckmanuals.com]
Entire Body System
- Recurrent Infection
Infections that cause chronic diarrhea are also common. Recurrent infections can lead to organ damage. [icdlist.com]
Recurrent infections by pyogenic bacteria. [bio.libretexts.org]
The least likely recurrent infection caused by primary immune deficiency is:. .. .. a. Recurrent otitis media. .. .. b. Recurrent bacterial skin infection. .. .. c. Recurrent bacterial pneumonia. .. .. d. Recurrent osteomyelitis. .. .. e. [hawaii.edu]
Failure of B Cell maturation -no problem with intracellular infections -cell mediated responses are normal -terminate viral and intracellar bacterial infections Susceptibility to extracellular infections -recurrent infections mostly due to extracellular [quizlet.com]
He states that starting a few months ago, the child has had recurrent infections, with the most recent being a Giardial infection. On physical exam, the child is well-appearing but the pediatrician notes an absence of tonsils. [medbullets.com]
- Inflammation
[…] after Diarrhea 719 96 Necrotizing Enterocolitis 724 97 Surgical Treatment of Necrotizing Enterocolitis 731 Overview 735 99 Pathophysiology of Coagulation and Deficiencies of Coagulation Factors in the Newborn 748 Risk of Thrombosis in the Newborn 763 Inflammation [books.google.de]
0000246 Skin rash 0000988 30%-79% of people have these symptoms Arthritis Joint inflammation 0001369 Failure to thrive Faltering weight Weight faltering [ more ] 0001508 Osteomyelitis Bone infection 0002754 5%-29% of people have these symptoms Bronchiectasis [rarediseases.info.nih.gov]
[…] joint disease breakdown of red blood cells muscle and skin inflammation reduced number of neutrophils in the blood failure to grow blood or colon cancer (rare) Many of the above conditions also occur in children without AGMX. [healthline.com]
CVID patients have an increased risk of developing autoimmune diseases, lymphatic and gastrointestinal malignancies, malabsorption and granulomatous inflammation. [hawaii.edu]
- Asymptomatic
[…] infections, especially Encapsulated bacteria Haemophilus influenzae Streptococcus pneumoniae Staphylococcus aureus Gram-negative bacteria Enteroviruses Giardia duodenalis Unusual pathogens – Helicobacter cinaedi Clinical Presentation Infants are usually asymptomatic [arupconsult.com]
Additionally, normal healthy children with low IgG2 subclass levels and normal responses to polysaccharide antigens as well as completely asymptomatic individuals with lacking IgG1, IgG2, IgG4 have been reported. [hawaii.edu]
The disorder is inherited in an X-linked recessive fashion as the gene linked to it is on the X chromosome ) and is almost entirely limited to the sons of asymptomatic female carriers. [3] This is because males have only one copy of the X chromosome, [en.wikipedia.org]
Of the primary immunodeficiency disorders, selective IgA deficiency may have the highest incidence (one case per 300 to 700 persons, according to estimates based on blood donation analyses), but the disorder is often asymptomatic and undiagnosed. 3, 12 [aafp.org]
- Short Stature
As a result, type IB is characterized by short stature, but this growth failure is typically not as severe as in type IA. [icdlist.com]
stature due to isolated growth hormone deficiency with X-linked hypogammaglobulinemia X-linked agammaglobulinemia Aleukemic mast cell leukemia Bullous diffuse cutaneous mastocytosis Classic mast cell leukemia Cutaneous mastocytoma Isolated bone marrow [csbg.cnb.csic.es]
Prader-Willi Syndrome Chromosomal Deletion of part of short arm of chromosome 15, paternal copy. An example of genomic imprinting. Mental retardation, short stature, hypotonia, obesity and huge appetite after infancy. [kumc.edu]
Respiratoric
- Pneumonia
Sepsis, meningitis, pneumonia with empyema, pyoderma (associated with neutropenia), severe diarrhea and enteroviral infection are common. They are generally healthy between episodes of infection. [orpha.net]
The parents say that the child has had these symptoms multiple times in the past couple of months and a throat swab sample reveals the presence of Streptoccocus pneumoniae. [medbullets.com]
[…] and Pulmonary Gangrene (see Necrotizing Pneumonia and Pulmonary Gangrene, [[Necrotizing Pneumonia and Pulmonary Gangrene]]) Pertussis (see Pertussis, [[Pertussis]]) Recurrent Aspiration Pneumonia (see [[Aspiration Pneumonia]]): bronchiectasis probably [mdnxs.com]
Immunol Cell Biol 86(3): 268–70 CrossRef PubMed CAS Google Scholar Yuan FF, Wong M, Pererva N, et al. (2003) FcgammaRIIA polymorphisms in Streptococcus pneumoniae infection. [link.springer.com]
[…] to pre-B-cell stage Results in marked reduction in all classes of immunoglobulins (B-cell products) Hypogammaglobulinemia results in predisposition to life-threatening infections, especially Encapsulated bacteria Haemophilus influenzae Streptococcus pneumoniae [arupconsult.com]
Gastrointestinal
- Diarrhea
Diarrhea, Polyendocrinopathy, Fatal Infection Syndrome, X-Linked Enteropathy, Autoimmune, With Hemolytic Anemia And Polyendocrinopathy Iddm-Secretory Diarrhea Syndrome Immunodeficiency, Polyendocrinopathy, And Enteropathy, X-Linked, Formerly Islets Of [ukgtn.nhs.uk]
713 95 Rehydration after Diarrhea 719 96 Necrotizing Enterocolitis 724 97 Surgical Treatment of Necrotizing Enterocolitis 731 Overview 735 99 Pathophysiology of Coagulation and Deficiencies of Coagulation Factors in the Newborn 748 Risk of Thrombosis [books.google.de]
Italian any ethnicity Dutch, other Northern European mostly European mostly European any ethnicity duration of attacks 12-72 hours days to weeks 3-7 days 12-24 hours 2-3 days continuous, with flares abdominal sterile peritonitis, constipation peritonitis, diarrhea [ufrgs.br]
Commonly diagnosed infections include lung infections (pneumonia and bronchitis), middle ear infections, conjunctivitis, sinus infections, various skin infections, and infections that are associated with chronic diarrhea. [1] [2] [3] Agammaglobulinemia [rarediseases.info.nih.gov]
Sepsis, meningitis, pneumonia with empyema, pyoderma (associated with neutropenia), severe diarrhea and enteroviral infection are common. They are generally healthy between episodes of infection. [orpha.net]
- Vomiting
Bad headache with nausea; vomiting; stiff neck; fever; and sensitivity to light (possible signs of meningitis). [hizentra.com]
European mostly European mostly European any ethnicity duration of attacks 12-72 hours days to weeks 3-7 days 12-24 hours 2-3 days continuous, with flares abdominal sterile peritonitis, constipation peritonitis, diarrhea, or constipation severe pain, vomiting [ufrgs.br]
The most common noncutaneous abnormalities are infections, diarrhea, vomiting, hepatosplenomegaly, arthritis, adenopathy or paucity of lymph nodes/tonsils, and hematologic abnormalities. [mhmedical.com]
Headache, fever, myalgia, chills, rigors, nausea and vomiting are common adverse reactions of IVIG infusion; however, aseptic meningitis has been reported. 3. [hawaii.edu]
- Nausea
Bad headache with nausea; vomiting; stiff neck; fever; and sensitivity to light (possible signs of meningitis). [hizentra.com]
[…] any ethnicity duration of attacks 12-72 hours days to weeks 3-7 days 12-24 hours 2-3 days continuous, with flares abdominal sterile peritonitis, constipation peritonitis, diarrhea, or constipation severe pain, vomiting, diarrhea, rarely peritonitis nausea [ufrgs.br]
Headache, fever, myalgia, chills, rigors, nausea and vomiting are common adverse reactions of IVIG infusion; however, aseptic meningitis has been reported. 3. [hawaii.edu]
Occasionally, individuals with XLA have a reaction to gammaglobulin, consisting of headaches, chills, backache, or nausea. [ncbi.nlm.nih.gov]
Musculoskeletal
- Arthritis
[…] in knee or hip arthritis in large joints, arthralgia arthralgia, symmetric polyarthritis polyarthralgia polyarthralgia, oligoarthritis, clubbig epiphyseal overgrowth, contractures, intermittent or chronic arthritis, clubbing cutaneous erysipeloid erythema [ufrgs.br]
Less common manifestations include sepsis, meningitis, septic arthritis, osteomyelitis, and pyoderma. Severe bacterial infections with lung or CNS involvement may cause serious morbidity or be life-threatening. [orpha.net]
[…] is respiratory infections with encapsulated organisms Otitis media Sinusitis Pneumonia /empyema Other common infections Conjunctivitis Chronic, recurrent diarrhea Cellulitis Life-threatening infections uncommon Sepsis Meningitis / encephalitis Septic arthritis [arupconsult.com]
The most common noncutaneous abnormalities are infections, diarrhea, vomiting, hepatosplenomegaly, arthritis, adenopathy or paucity of lymph nodes/tonsils, and hematologic abnormalities. [mhmedical.com]
About one third of patients have symptoms that resemble rheumatoid arthritis, including swollen and painful joints. A severe late complication is a fatal syndrome similar to dermato-myositis but with central neurologic involvement, as well. [what-when-how.com]
- Long Arm
Fragile-X Syndrome Chromosomal Sex chromosome Progressively longer tandem repeats on the long arm of the X-chromosome. The longer the number of repeats, the worse the syndrome. Tandem repeats tend to accumulate through generations. [kumc.edu]
Genetics and Pathogenesis The gene responsible for X-linked agammaglobulinemia is located on the long arm of the X chromosome (Xq21.33-q22).35 This gene, termed btk, is a member of the src family of oncogenes and encodes a unique tyrosine kinase.48 It [what-when-how.com]
Arm of Chromosome 11) Immunosuppression Autologous Bone Marrow Transplant (BMT)/Autologous Stem Cell Transplant (SCT) (see Bone Marrow Transplant, [[Bone Marrow Transplant]]) Azathioprine (Imuran) (see Azathioprine, [[Azathioprine]]) Belimumab (Benlysta [mdnxs.com]
The structural gene for growth hormone is located on the long arm of chromosome 17. [emedicine.medscape.com]
- Osteoporosis
[…] stationary night blindness Congenital valvular dysplasia Deafness - lymphedema - leukemia Delta-beta-thalassemia Distal myopathy with posterior leg and anterior hand involvement Dominant beta-thalassemia Dominant hypophosphatemia with nephrolithiasis or osteoporosis [csbg.cnb.csic.es]
[…] of worth with Torus Palatinus Hypophosphatemia, X-Linked Hypophosphatemic Rickets, X-linked Metaphyseal Dysplasia without Hypotrichosis Multiple Epiphyseal Dysplasia (MED) Nevoid basal cell carcinoma syndrome Osteopetrosis Type 1, Autosomal Dominant Osteoporosis-Pseudoglioma [estudiosgeneticos.com.ar]
Neurologic
- Meningism
Sepsis, meningitis, pneumonia with empyema, pyoderma (associated with neutropenia), severe diarrhea and enteroviral infection are common. They are generally healthy between episodes of infection. [orpha.net]
[…] controversial headache headache sensorineural deafness sensorineural deafness, chronic aseptic meningitis, mental retardation, headache lymphatic splenomegaly, occasional lymphadenopathy splenomegaly, occasional lymphadenopathy cervical adenopathy in [ufrgs.br]
Tabs Content Clinical Overview Diagnosis Indications for Testing Recurrent infections in males during infancy or early childhood Respiratory tract (lungs, ears, sinuses) Meningitis Sepsis Gastrointestinal Cutaneous infections Laboratory Testing Nonspecific [arupconsult.com]
The infections may include: Infections of the sinus Diarrhea Eye, ear infections Respiratory infection, bronchitis, pneumonia Infection of the skin and bones Blood infection (sepsis) Meningitis - infection of the meninges, the tissue covering the brain [dovemed.com]
Similarly, central nervous system infections, such as meningitis, may lead to neurologic sequelae and developmental issues. [dermatologyadvisor.com]
- Confusion
Cautions Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances Patients who have received a heterologous blood transfusion within the preceding [mayomedicallaboratories.com]
Workup
The workup should start with a complete blood count (CBC) and differential. In the case of autosomal agammaglobulinemia, the number neutophils is within normal limits, The workup should start with a complete blood count (CBC) and differential. [clinicaladvisor.com]
The immunologic workup of the child suspected of immunodeficiency. Ann Allergy Asthma Immunol 2001;87(5):362-370. 4. Paul ME, Shearer WT. Chapter 33- Approach to the Evaluation of the Immunodeficient Patient. In: Rich RR, Fleisher TA (eds). [hawaii.edu]
Serum
- Hypogammaglobulinemia
ICD-10-CM Diagnosis Code D80.1 Nonfamilial hypogammaglobulinemia 2016 2017 2018 2019 Billable/Specific Code Applicable To Agammaglobulinemia with immunoglobulin-bearing B-lymphocytes Common variable agammaglobulinemia [CVAgamma] Hypogammaglobulinemia [icd10data.com]
[…] with increased immunoglobulin M [IgM] D80.6 Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia D80.7 Transient hypogammaglobulinemia of infancy D80.8 Other immunodeficiencies with predominantly antibody defects Inclusion [icd10coded.com]
X linked hypogammaglobulinemia X-linked agammaglobulinemia X-linked hypogammaglobulinemia Applies To Agammaglobulinemia: Bruton's type X-linked ICD-9-CM Volume 2 Index entries containing back-references to 279.04 : [icd9data.com]
Ig = immunoglobulin; TAP = transporter associated with antigen processing or transporter, ATP-binding cassette; WHIM = warts, hypogammaglobulinemia, infections, myelokathexis. [mhmedical.com]
We performed genetic linkage analysis in consanguineous families affected by hypogammaglobulinemia. [pesquisa.bvsalud.org]
Treatment
Management and treatment There is no curative treatment but good disease control can be achieved through consistent gammaglobulin therapy. This can be given intravenously (400-600 mg/kg every 3 to 4 weeks) or subcutaneously (100 mg/kg every week). [orpha.net]
85 Pathology and Treatment of Liver Diseases 641 86 Neonatal CholestasisConjugated Hyperbilirubinemia 650 87 Surgical Treatment of Biliary Tract Malformations 659 88 Orofacial Malformations 664 89 Esophageal Atresia 675 90 Gastrointestinal Malformations [books.google.de]
Treatment for Bruton’s Agammaglobulinemia varies, depending on each individual’s specific condition. [dovemed.com]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
AGMX treatment depends on a number of factors. These factors include your child’s age, overall health, medical history, and the severity of the condition. One common form of treatment is to replace the antibodies in the blood. [healthline.com]
Prognosis
Prognosis The prognosis depends on the age at diagnosis, compliance with therapy and the development of complications. Most patients on treatment can lead a normal life. [orpha.net]
Prevention, and Complications Prognosis normal prognosis with regular IVIG therapy and early detection Prevention screening in newborns regular IVIG to prevent infections Complications small risk of malignancy Please rate topic. [medbullets.com]
[…] such as a bronchitis, diarrhea, eye infections, ear infections, and sinus infections The treatment options for Agammaglobulinemia may include antibody replacement through gamma globulin therapy and treating infections with appropriate antibiotics The prognosis [dovemed.com]
However, because the prognosis is poor, hematopoietic stem cell transplantation is preferred if an HLA-identical sibling donor is available. [merckmanuals.com]
Prognosis The prognosis is very good for patients whose condition is diagnosed and treated early. [what-when-how.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Discusses new studies examining potential etiologies for the increase in food allergy and examines potential immunotherapeutic strategies for treating food allergies. [books.google.com]
Etiology The disorder is due to mutations in various genes involved in humoral immunity, including: IGHM (14q32.33), BLNK (10q23.2-q23.33), CD79A (19q13.2), CD79B (17q23), IGLL1 (22q11.23), PIK3R1 (5q13.1) and TCF3 (19p13.3) Common causative microorganisms [orpha.net]
Epidemiology
Summary Epidemiology Fewer than 100 cases of autosomal inherited agammaglobulinemia have been reported to date. [orpha.net]
Syndrome 1160 137 Neuroprotective Strategies 1173 138 Cerebral Hemorrhage 1180 139 Neonatal Arterial Stroke 1192 140 Neonatal Seizures 1199 141 The Timing of Neonatal Brain Damage 1208 142 Thrombosis in the Development of Newborn Brain Damage 1216 143 Epidemiology [books.google.de]
[…] cytometry – if protein expression is absent or reduced, suggests X-linked agammaglobulinemia (XLA) in males Differential Diagnosis X-linked hyper IgM syndrome X-linked severe combined immunodeficienc y X-linked lymphoproliferative disease HIV Background Epidemiology [arupconsult.com]
Enteroviruses in X-Linked Agammaglobulinemia: Update on Epidemiology and Therapy. J Allergy Clin Immunol Pract. 2016; 4(6):1059-1065. PMID: 26883540 Berglöf, A, et al. [invitae.com]
Epidemiology Definition : permanent dilation of bronchi and bronchioles with associated airway wall damage Prevalence : bronchiectasis is found in patients of all ages, genders, and ethnic groups However, older adults are mre commonly affected than youngr [mdnxs.com]
Pathophysiology
699 92 Meconium Plug Syndrome 704 93 Hirschsprungs Disease 708 94 Gastroenteritis and Intractable Diarrhea 713 95 Rehydration after Diarrhea 719 96 Necrotizing Enterocolitis 724 97 Surgical Treatment of Necrotizing Enterocolitis 731 Overview 735 99 Pathophysiology [books.google.de]
[…] immunodeficienc y X-linked lymphoproliferative disease HIV Background Epidemiology Incidence – estimated 1/250,000-700,000 male births Age 50% diagnosed by 2 years 80% diagnosed by 5 years Sex – >99% male Ethnicity – most commonly diagnosed in Caucasians Pathophysiology [arupconsult.com]
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test X-linked agammaglobulinemia (XLA) is a humoral primary immunodeficiency affecting males in approximately 1 in 200,000 live births [mayomedicallaboratories.com]
In addition to the genetic defects described above, other pathophysiology mechanisms may result in hypogammaglobulinemia or agammaglobulinemia, such as viral infections, malignancy, or drug effects. These are described in more detail in Causes. [emedicine.medscape.com]
Prevention
These mutations prevent the development and regulation of B lymphocytes Pre-B-lymphocytes are unable to mature into B lymphocytes. [dovemed.com]
Immunoglobulin is particularly effective in preventing the spread of infections into the bloodstream and to deep body tissues or organs. [primaryimmune.org]
Succinct, targeted coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse [books.google.com]
and Complications Prognosis normal prognosis with regular IVIG therapy and early detection Prevention screening in newborns regular IVIG to prevent infections Complications small risk of malignancy Please rate topic. [medbullets.com]