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4 Cards in this Set

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ALPS

- Non-SCID


- FAS/FASL deficiency


(PKC delta, caspase 10, gof-NRAS/KRAS, CTLA4, FADD [adapter protein])



- Inability to apoptose effctor CD8 tcells after activation (and to a lesser extent activated B cells)


- Flow: Increased CD3+4-/8- TCRab+ (^B/Ig's)


- Uncontrolled lymphocyte proliferation


- Splenomegaly/Lympadenopathy (*enlarged follicles and increase blast cells).


-Autoimmunity towards cells.


- Increased IL-10,-IL-18, FASL, B12


- TUNEL Assay: Incubate lymphocytes then ADD FAS analogue, shoulder be the majority apoptosing (not single digits).


- Treat with long steroid taper


- Malignancy surveillance

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