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13 Cards in this Set

  • Front
  • Back

Agammaglobulinemia


gene, inheritance, defect, manifest

BTK (TRK)


XR


defective B cell maturation -> decreased Ig


Bacterial and enteroviral infection after 6 months

IgA deficiency


at risk for?

most common, low IgA, normal everything else


asymptomatic


higher atopy, autoimmune, anaphylaxis to transfusion

CVID

B cell maturation defective


acquire 20s-30s


increased autoimmune disease, sinopulm, bronchiectasis, lymphoma


decreased plasma cells, IgG

Thymic aplasia

DiGeorge, 22q11 deletion - 3rd 4th pouches


tetany from hypocalcemia, viral/fungal infections, heart defects


low t cells, pth ca2+

IL-12 R deficiency

decreased Th1 response


AR


mycobacterial infection disseminated, fungal


decreased IFN-gamma

Hyper IgE

Th17 deficiency - stat3, impaired nphil recruitment


FATED = facies, abscesses (cold staph), Teeth, IgE, Derm (eczema),


increased IgE, low IFN-gamma

CMC

T-cell dysfunction


candida infections


no cutaneous rxn to candida antigen

SCID

IL-2R gamma (XR)


Adenosine deaminase deficiency (AR)


FTT, diarrhea, thrush, viral/bac/fungal/protozoal


tx: BMT


decreased T cell receptor excision circles


no thymic shadow



Ataxia-telangiectasia

ATM - can't repair ds breaks


AAA: Ataxia (cerebellar), spider Angioma, IgA deficiency


increased AFP, decreased IgA, IgG, IgE, lymphopenia, cerebellar atrophy

Hyper IgM

defective CD40L on Th - can't class switch, actin cytoskeleton recognition


WATER = Wiskott Aldrich, Thrombocytopenic purpura, Eczema, Recurrent infection


increased autoimmune, malignancy


decreased IgG, IgM


increased IgE, IgA


fewer/smaller platelets

LAD

LFA-1 integrin - CD18 on phagos, impaired migration, chemotaxis


AR


bacterial skin and mucosal infection, impaired wound healing, delayed umbilical cord separation


increased nphils, but not at infxn site

Chediak-Higashi

lyso trafficking defect - LYST


phago/lyso fusion dysfunction


AR
pyogenic infections- staph, strep


partial albinism, PN, neurodegen, lymphohistiocytosis


giant granules in nphils and platelets


pancyto


coag defects

CGD

NADPH oxidase = resp burst in nphils


XR


increased cat + infection


PLACESS = pseudomonas, listeria, aspergillus, candida, e. coli, s aureus, serratia


abnormal DHT, negative NBT