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14 Cards in this Set

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x-linked recessive defect un tyrosine kinase gene assoc with low levels of all Ig classes. > after 6 months in bacterial infections (maternal IgG declines), mostly in BOYS
Bruton's agammaglobulinemia - Decreased PRODUCTION B cells
Presents with tetany from HYPOCALCEMIA. Viral and fungal infs from T CELL DEFICIT.

Thymus and parathyroid failure to dev - failure of 3rd and 4th pharyngeal pouches to form.

Congenital defects of heart and great vessels. 22q11 del.
DiGeorge Syndrome - decreased PRODUCTION of T cells - Thymic aplasia
Prob in early stem cell differemtiation. recurrent bact, viral, fungal, protozoan infections. may have multiple causes (failure to synth MHC II antigens, defective IL2 receptors, adenosine deaminase deficiency)
SCID - B and T cells decreased PRODUCTION
disseminated mycobacterial infections
Decreased ACTIVATION of T cells - IL-12 receptor deficiency
Early severe pyogenic infections.

High IgM -- Low everything else.

Defective CD40L on CD4 T-helpers so cannot class switch.
Hyper IgM syndrome - decreased ACTIVATION of B cells
Triad of symps:
1. recurrent pyogenic Infecs
2. Thrombocytopenic purpura
3. Eczema
x-linked. Not able to mount IgM response to capsular polysaccs of bacteria.

High IgA.
NORMAL IgE.
Low IgM.
Wiskott-Aldrich - decreased ACTIVATION of B cells
Recurrent "cold"/non-inflamed staph abcesses, eczema, course facies, retained primary teeth.

HIGH IgE.

Failure of gamma interferon production by T helpers.
Job's syndrome - decreased ACTIVATION of macrophages.
Early severe pyogenic and fungal infections and DELAYED SEPARATION OF UMBILICUS.

Defect in LFA-1 adhesion proteins on phagocytes.
PHAGOCYTIC CELL DEFICIENCY -
Leukocyte adhesion deficiency syndrome
Presents recurrent pyogenic staph and strep, PARTIAL ALBINISM, peripheral neuropathy.
Autosomal Recessive.
Defect in MICROTUBULAR FUNCTION AND LYSOSOMAL EMPTYING OF PHAGOCYTES.
PHAGOCYTIC CELL DEFICIENCY -
Chediak-Higashi dz
Marked suscepitibility to opport. infecs with bacteria - esp S. aureusm E. coli, and Aspergillus. Dx with NEGATIVE nitroblue tetrazolium dye reduction test - lack of NADPH oxidase activity in PMNs.
PHAGOCYTIC CELL DEFICIENCY -
Chronic granulomatous disease
Candida - skin and mucous membranes. T cell dysfunc against Candida specifically.
IDIOPATHIC DYSFUNCTION OF:
T Cells.
Chronic Mucocutaneous Candidiasis
Sinus and lung infections, milk allergies and diarrhea common. Deficiency in one specific Ig class - IgA def is most common. Could be due to defect in isotype switching.
IDIOPATHIC DYSFUNCTION OF:
B Cells.
Selective Immunoglobulin Deficiency
Presents as cerebellar problems (ataxia) and spider angiomas (telangiectasia). Defect in DNA repair enzymes with associated IgA deficit.
IDIOPATHIC DYSFUNCTION OF:
B cells.
Ataxia-telangiectasia
Acquired in 20-30's.
NORMAL B cell numbers circulating.
LOW PLASMA CELLS
LOW Ig
IDIOPATHIC DYSFUNCTION OF:
B cells.
Common variable immunodeficiency