Presentation
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]
These pre-mRNAs carry a recognition sequence called Rev responsive element (RRE) located in the env gene, that is not present in fully spliced viral mRNAs (early transcripts). [uniprot.org]
As in all types of SCID, no antibody formation is present. Reticular dysgenesis: Lymphopenia occurs from the absence of myeloid cells in the bone marrow. Red blood cells and platelets are present and functioning. [odlarmed.com]
Presentation The most common presenting feature is frequent infections. [patient.info]
Entire Body System
- Candidiasis
Common variable immunodeficiency Severe combined immunodeficiency, especially TAP2 deficiency X-linked hypogammaglobulinemia Warts, extensive Cutaneous candidal infection Chronic mucocutaneous candidiasis DiGeorge syndrome Hyperimmunoglobulinemia E syndrome [mhmedical.com]
Usual pathogens Pneumocystis carinii pneumonia Atypical mycobacterium Herpes viruses Candidiasis and other systemic fungal infections Cryptosporidium Pneumococcus and other common bacteria [odlarmed.com]
OROTICOACIDURIA DI TIPO I DEFICIT DI CARBOSSILASI BIOTINA-DIPENDENTE IMMUNODEFICIENZE DA IPERCATABOLISMO DELLE Ig IPERCATABOLISMO FAMILIARE MIOTONIA DISTROFICA LINFANGECTASIA INTESTINALE ALTRE SINDROMI DA IMMUNODEFICIENZA SINDROME DA IPER-IgE E SINDROME DI GIOBBE CANDIDIASI [mednemo.it]
Recurrent mucosal candidiasis suggests T cell deficiencies such as SCID and AIDS. Adenopathy and hepatosplenomegaly is frequently encountered in HIV infection. [hawaii.edu]
Autoimmune polyendo-crinopathy-candidiasis-ectodermal dystrophy. J Clin Endoc Metab 2006; 91:2843–2850. CrossRef CAS Google Scholar Carboni I, Soda R, Bianchi L, Chimenti S. [link.springer.com]
- Recurrent Bacterial Infection
People affected by this condition generally begin developing frequent and recurrent bacterial infections from about 6 months of age. [rarediseases.info.nih.gov]
The development of severe, persistent recurrent bacterial infection is a better indicator. A common scenario is repeated episodes of sore throat or upper respiratory tract infection which lead to sinusitis, chronic otitis and bronchitis. [patient.info]
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]
bacterial and enteroviral infections. [tmj.ro]
- Weakness
The child loses weight, becomes very weak, and eventually dies from an opportunistic infection. Diagnosis SCID is diagnosed by the typing of T and B cells in the child's blood. [medical-dictionary.thefreedictionary.com]
Muscle cramps, muscle weakness, easy fatigability. Myoglobinuria with strenuous exercise. [kumc.edu]
Long-lasting thrush can signify weakness or dysfunction of the immune system. Thymus An organ of the immune system where T cells are produced and matured. The thymus is located behind the sternum, in front of the heart. [info4pi.org]
These mono-genetic defects affect only very few patients, but do provide important prototypic disease models by indicating weak points in terminal B-cell differentiation. [arthritis-research.biomedcentral.com]
- Collapse
Severe combined immunodeficiency Defining criteria Coma, respiratory distress–pulmonary edema, hypoglycemia, circulatory collapse–clinical shock, repeated convulsions, severe anemia–< 5g/dL and > 10 000 parasites mm3, acidosis–plasma bicarbonate < 15 [medical-dictionary.thefreedictionary.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]
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]
Página 54 - Pedigree demonstrating a sex-linked recessive condition characterized by draining ears, eczematoid dermatitis and bloody diarrhea. Página 51 - Selective IgA deficiency: presentation of 30 cases and a review of the literature. [books.google.es]
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]
Liver, Gall & Pancreas
- Protein S Deficiency
[…] state NEC Primary thrombophilia NEC Protein C deficiency Protein S deficiency Thrombophilia NOS D68.6 Other thrombophilia Other hypercoagulable states Excludes1: diffuse or disseminated intravascular coagulation [DIC] (D65) heparin induced thrombocytopenia [en.wikisource.org]
Workup
Other features include a Chief Complaints section addressing the workup and treatment of 50 signs and symptoms, plus a medication index, syndromes glossary, surgical glossary, laboratory values, and tables all for quick reference saving you time and helping [books.google.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]
Treatment
Other features include a Chief Complaints section addressing the workup and treatment of 50 signs and symptoms, plus a medication index, syndromes glossary, surgical glossary, laboratory values, and tables all for quick reference saving you time and helping [books.google.com]
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]
Treatment for Bruton’s Agammaglobulinemia varies, depending on each individual’s specific condition. [dovemed.com]
Local antibiotic treatment (drops, lotions) are preferred over systemic treatment (pills) for long-term treatment, if possible. One of the future prospects of XLA treatment is gene therapy, which could potentially cure XLA. [en.wikipedia.org]
The authors stated that HSCT is still the only treatment available for patients who are refractory to G-CSF treatment. [aetna.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]
Some conditions such as selective IgAD have a good prognosis. [patient.info]
[…] 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]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.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]
(Etiology) The causative factors of Bruton’s Agammaglobulinemia include mutations in the BTK gene, located on the X chromosome. [dovemed.com]
---> Other case reports and molecular studies are essential to circumvene etiological mechanisms in those malformation syndromes with susceptibility to cancer. 1.5.10 Paternity A false paternity may sometimes be at the origin of an incomplete or incorrect [atlasgeneticsoncology.org]
Arthritis Research & Therapy 2012 14 :223 https://doi.org/10.1186/ar4032 © BioMed Central Ltd 2012 Published: 24 September 2012 Abstract Common variable immunodeficiency (CVID) describes a heterogeneous subset of hypogammaglobulinemias of unknown etiology [arthritis-research.biomedcentral.com]
Epidemiology
Summary Epidemiology Fewer than 100 cases of autosomal inherited agammaglobulinemia have been reported to date. [orpha.net]
[…] syndromes associated with immunodeficiency: a wide range of inherited immunodeficiency conditions has been identified, many involving a single gene. [ 14 ] Secondary immunodeficiencies There are many possible causes and so it is difficult to obtain exact epidemiological [patient.info]
Epidemiology The study of the patterns, distribution, and causes of diseases as they appear in different populations, and with the goal to assist affected populations and identify future prevention methods. [info4pi.org]
Epidemiology Frequency United States Agammaglobulinemia occurs in approximately 1 in 250,000 males in the United States. [emedicine.medscape.com]
Epidemiology CVID encompasses the largest group of symptomatic primary immunodeficiencies, with an estimated incidence between 1:10,000 and 1:50,000 [ 1, 2 ]. [arthritis-research.biomedcentral.com]
Pathophysiology
Immunology: Clinical Case Studies and Disease Pathophysiology. John Wiley & Sons. ISBN 9781118966006. Retrieved 27 November 2016. Kleinman, Ronald (Professor of Paediatrics (2008). Walker's Pediatric Gastrointestinal Disease. PMPH-USA. [en.wikipedia.org]
Pathophysiology The pathophysiology and molecular biology vary; however, the lack of T- and B-cell function is the common endpoint in all forms of SCID. [odlarmed.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]
Hemophagocytic lymphohistiocytosis: diagnosis, pathophysiology, treatment, and future perspectives. Ann Med 2006; 38:20–31. CrossRef PubMed CAS Google Scholar Stephan JL. Syndromes hémophagocytaires et déficits immunitaires primitifs. [link.springer.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]
Without antibodies, the immune system cannot properly respond to foreign invaders and prevent infection. This condition is inherited in an X-linked recessive pattern. [ghr.nlm.nih.gov]