Clinical, immunologic and genetic profiles of DOCK8-deficient patients in Kuwait

被引:51
作者
Al-Herz, Waleed [1 ,2 ]
Ragupathy, Raj [3 ]
Massaad, Michel J. [4 ,5 ]
Al-Attiyah, Raja'a [3 ]
Nanda, Arti [6 ]
Engelhardt, Karin R. [7 ,8 ,9 ,10 ]
Grimbacher, Bodo [7 ,8 ,9 ,10 ]
Notarangelo, Luigi [4 ,5 ]
Chatila, Talal [4 ,5 ]
Geha, Raif S. [4 ,5 ]
机构
[1] Kuwait Univ, Dept Pediat, Fac Med, Safat 13110 24923, Kuwait
[2] Al Sabah Hosp, Dept Pediat, Allergy & Clin Immunol Unit, Kuwait, Kuwait
[3] Kuwait Univ, Dept Microbiol, Fac Med, Safat 13110, Kuwait
[4] Harvard Univ, Sch Med, Div Immunol, Childrens Hosp, Boston, MA USA
[5] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[6] Al Sabah Hosp, Asad Al Hamad Dermatol Ctr, Pediat Dermatol Unit, Kuwait, Kuwait
[7] Univ Freiburg, D-79106 Freiburg, Germany
[8] Univ Med Ctr Freiburg, CCI, Freiburg, Germany
[9] UCL, London, England
[10] Royal Free Hosp, Dept Immunol & Mol Pathol, London NW3 2QG, England
关键词
DOCK8; deficiency; Combined immunodeficiency; IgE; Eczema; Consanguinity; Kuwait; PRIMARY IMMUNODEFICIENCY DISORDERS; DOCK8; MUTATIONS; REGISTRY;
D O I
10.1016/j.clim.2012.03.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Deficiency of dedicator of cytokinesis 8 (DOCK8) is a newly described combined primary immunodeficiency disease. It was found to account for 15% of combined immune deficiency cases in the National Primary Immunodeficiency Disorders Registry in Kuwait, a country with high prevalence of consanguinity. We present the clinical, immunologic and molecular characteristics of 9 Kuwaiti patients with DOCK8 deficiency and discuss differences that distinguish DOCK8 deficiency from atopic dermatitis. Clinical immunologists in areas with high incidence of consanguinity should have a high index of suspicion of DOCK8 deficiency in children with recalcitrant eczema, recurrent non-cutaneous infections and lymphopenia. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:266 / 272
页数:7
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