Presentation
Clinical description Neutrophil immunodeficiency syndrome presents as similar to leukocyte-adhesion deficiency (LAD; see this term), however there is no evidence of deficiency in the CD11b/CD18 complex. [orpha.net]
Affected individuals present with leukocytosis, neutrophilia, severe recurrent bacterial infections and poor wound healing. [uniprot.org]
Abstract A 5-week-old male infant presented with severe bacterial infections and poor wound healing, suggesting a neutrophil defect. [ncbi.nlm.nih.gov]
He has edited more than 10 books, has presented more than 350 lectures/posters in congresses/meetings, and has published more than 500 articles in the international scientific journals during last decade. [books.google.com]
Entire Body System
-
Recurrent Infection
Most patients who have recurrent infections do not have an identifiable phagocyte defect or immunodeficiency. [pedsinreview.aappublications.org]
Sitzmann Abstract A 4-year-old girl presented with recurrent infections. Immunoglobulin deficiency (serum and secretory IgA, serum IgG 3 ) neutropenia and neutrophil dysfunction (defective spontaneous migration and chemotaxis) were found. [link.springer.com]
infections, including otitis media and pneumonia B T cell Wiskott Aldrich - X linked recessive - T cells can't recognize actin cytoskeleton TIE syndrome: - Thrombocytopenia - Recurrent Infection - Eczema Labs: - increased IgA and IgE - low IgG and IgM [brainscape.com]
Immunodeficiency typically manifests as recurrent infections. However, recurrent infections are more likely to have causes other than immunodeficiency (eg, inadequate treatment, resistant organisms, other disorders that predispose to infection). [merckmanuals.com]
Workup
(suggestive of granuloma annulare). [11] Procedures Biopsy - Should be considered to exclude infection or malignancy in enlarging lymph nodes Bronchoscopy or endoscopy - Can provide information regarding specific lesions or infectious processes See Workup [emedicine.medscape.com]
HLA Type
-
HLA-DR2
Font, MP, Gebuhrer L, Bétuel H, Freidel C, Dausset J, Cohen D (1986) HLA-DR2,-DR5 and-DRw6 associatet Dw subtypes correlate with HLA-DRβ and-DQβ restriction fragment length polymorphisms. Proc. Natl Acad Sci USA 83:3361–3365 PubMed Google Scholar 4. [link.springer.com]
Treatment
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Alternative treatments Alternative and complementary treatments for HIV need to be carefully evaluated. [northshore.org]
At 5 months of age, he had surgical treatment for multiple perianal fistulas with abscesses. [hawaii.edu]
Prognosis
[…] of PMNs from the BM Clinical Pyogenic infections–eg, gingivitis, abscess formation, pneumonia, neutropenia Prognosis Uncertain lazy leukocyte syndrome decreased responsiveness of leukocytes in chemotactic assays. [medical-dictionary.thefreedictionary.com]
Prognosis depends on the primary immunodeficiency disorder. [merckmanuals.com]
Prognosis The prognosis depends on the presence of severe autoimmune disease, recurrent infections causing structural lung damage, and the development of a malignancy. A 20-year survival rate is 64% for male patients and 67% for female patients. [emedicine.medscape.com]
Because the prognosis is poor, early bone marrow transplantation is strongly recommended for GS-2. [primaryimmune.org]
[…] genetic cause cannot be identified in the majority of patients with clinical features of CVID, there are an increasing number of identificable conditions that can be linked to newly identified genetic disorders that have implications for the long term prognosis [worldallergy.org]
Etiology
Etiology The disease is due to a point dominant negative mutation in the RAC2 gene causing decreased Rac2 protein expression and a defect in a signaling pathway controlling shape change/motility of neutrophils as well as assembly and activation of NADPH [orpha.net]
Etiology The primary cause of common variable immunodeficiency (CVID) remains unknown despite 40 years of research. Part of the problem is the heterogeneity of the disease. Genetic factors may be involved. [emedicine.medscape.com]
As congestive heart failure has varied etiologies, SCN describes a group of diseases with multiple causes. [neutropenia.ca]
Primary inherited defects in neutrophil function: etiology and treatment. Semin Hematol 1997;34:279-290. 7. Woroniecka M, Ballow M. Office evaluation of children with recurrent infection. [hawaii.edu]
Epidemiology
Summary Epidemiology Prevalence is unknown but, to date, two cases have been reported. [orpha.net]
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
Tamra Carlson - 2019-03-11 15:17 Disease Topic Inherited T-Cell Deficiency Disorders granulomatous disease (CGD) Neutrophil disorders Epidemiology Incidence – rare Age – most commonly discovered ... [arupconsult.com]
Jamkhedkar PP, Hira SK, Shroff HJ, Lanjewar DN (1998) Clinico-epidemiological features of granuloma inguinale in the era of acquired immune deficiency syndrome. Sex Transm Dis 25: 196-200. [omicsonline.org]
Pathophysiology
Leukocyte adhesion defect I: Pathophysiology is the lack of an adhesion receptor resulting in impaired chemotaxis, adhesion, and phagocytosis; inheritance autosomal recessive; rare with 60 cases reported; clinically characterized by moderate to severe [hawaii.edu]
Useful For Suggests clinical disorders or settings where the test may be helpful Diagnosis of Rac2 deficiency Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test This assay can [mayomedicallaboratories.com]
Pathophysiology In patients with common variable immunodeficiency (CVID), numerous immune-system abnormalities are reported, the most common of which is defective antibody formation. [emedicine.medscape.com]
Prevention
Centers for Disease Control and Prevention (2014). Preexposure prophylaxis for HIV prevention in the United States-2014: A clinical practice guideline. U.S. Centers for Disease Control and Prevention. . Accessed July 27, 2014. [northshore.org]
Seite 290 - Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with gastrointestinal bleeding: A meta-analysis. Hepatology 1999; 29: 1655-61 6. [books.google.de]
One of our long-term goals is to develop molecular therapeutic strategies to prevent uncontrolled release of neutrophil granule cargo proteins to prevent inflammation without affecting the innate and adaptive immune responses. [scripps.edu]
[…] delayed separation of the umbilical cord, severe periodontitis and/or gingivitis; diagnosis made by the presence of neutrophilia, decreased neutrophil integrin adhesion receptor (CD11b/CD18) by flow cytometry, and impaired chemotaxis; treatment includes prevention [hawaii.edu]
To prevent graft-vs-host disease after transfusions, clinicians should use blood products from cytomegalovirus-negative donors; the products should be filtered to remove WBCs and irradiated (15 to 30 Gy). [merckmanuals.com]