Haemophagocytic lymphohistiocytosis in X-linked severe combined immunodeficiency

被引:25
作者
Grunebaum, E [1 ]
Zhang, J [1 ]
Dadi, H [1 ]
Roifman, CM [1 ]
机构
[1] Hosp Sick Children, Res Inst, Infect Immun Injury & Repair Program, Dept Paediat,Div Immunol Allergy, Toronto, ON M5G 1X8, Canada
关键词
haemophagocytic lymphohistiocytosis; natural killer cells; severe combined immune deficiency; IL-2 receptor gamma; gamma common chain;
D O I
10.1046/j.1365-2141.2000.01923.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Haemophagocytic lymphohistiocytosis (HLH) is characterized by destruction of haematopoietic elements, and is associated with a variety of manifestations including immune abnormalities. We describe an infant with HLH who had no evidence of infection or malignancy, He had markedly reduced natural killer (NK) and T-cell numbers and mitogen responses, consistent with severe combined immune deficiency, Western blot and now cytometry analyses revealed an absence of interleukin (IL)-2 receptor gamma (gamma common) chain expression and a transition (C --> T) at nucleotide 684 in the gamma common gene. This novel case highlights the need for a thorough evaluation of immunological phenotype and genotype in patients with HLH.
引用
收藏
页码:834 / 837
页数:4
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