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Immunodefeciencies
High yield deficiencies of the immune system
24
Immunology
Post-Graduate
04/04/2012

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Cards

Term
Defect in Bruton's agammaglobulinemia
Definition
Defect in Bruton's tyrosine kinase
Blocks b-cell differentiation/maturation
Term
Presentation in Bruton's agammaglobulinemia
Definition
recurrent bacterial infections after 6 months of age
dec # of B cells
dec all Ig's
Term
Defect in Hyper-IgM syndrome
Definition
CD40L on helper T cells
Term
Presentation in Hyper-IgM syndrome
Definition
severe pyogenic infections early in life
inc IgM + dec all other Ig's
Term
Defect in CVID
Definition
B-cell maturation
Term
Presentation in CVID
Definition
acquired in late teens
inc risk of autoimmune diseases + sinopulmonary infections
normal # of B-cells
dec plasma cells + Ig's
Term
Defect in SCID
Definition
X-linked: defective IL-2 receptor or Adenosine Deaminase Defeciency
both B and Tcell deficiency
Term
Presentation in SCID
Definition
recurrent viral, bacterial and fungal infections
inc adenine or dec IL-2R
Term
Defect in Selective IgA deficiency
Definition
specific class of isotype switching
Term
Presentation in Selective IgA deficiency
Definition
sinus and lung infections
anaphylaxis on exposure to blood products with IgA
Term
Defect in DiGeorge syndrome
Definition
thymic aplasia: failure to develop 3rd and 4th pharyngeal pouches
Term
Presentation in DiGeorge syndrome
Definition
fish lips, hypocalcemia, absent thymus, absent parathyroid
recurrent viral/fungal infections
Term
Job's syndrome
Definition
AKA hyper-IgE syndrome
Th1 cells dont produce IFN-gamma -> inability of neutrophils to respond
Term
Presentation in Job's syndrome
Definition
coarse facies, eczema, retained primary teeth, inc IgE
Term
Defect in Chronic Granulomatous disease
Definition
lack of NADPH oxidase -> absence of reactive oxygen species
Term
Presentation in Chronic Granulomatous disease
Definition
recurrent infections by catalse+ organisms such as S. aureus, E. coli and Aspergillus
negative Nitroblue tetrazolium dye reduction test
Term
Defect in Ataxia-telangiectasia
Definition
defect in DNA repair enzyme
Term
Presentation in in Ataxia-telangiectasia
Definition
TRIAD:
1. wide gait (ataxia)
2. spider angiomas (teangiectasia)
3. IgA deficiency
Term
Defect in Wiskott-Aldrich syndrome
Definition
Progressive deletion of B and T cells
Term
Presentation in Wiskott-Aldrich syndrome
Definition
TIE:
Thrombocytopenic purpura
Infections
Eczema
Term
Defect in Leukocyte adhesion deficiency
Definition
LFA-1 integrin (CD18) on phagocytes
Term
Presentation in Leukocyte adhesion deficiency
Definition
recurrent bacterial infections w/o pus formation
delayed separation of umbilicus
Neutrophilia
Term
Defect in Chediak-Higashi
Definition
defect in microtubular function with dec phagocytosis
Term
Presentation in Chediak-Higashi
Definition
recurrent pyogenic infections by staph and strep
partial albinism
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