Immunodeficiencies Flashcards
low B cell and low Ig (all types)
Bruton
defective LYST gene (lysosomal transport)
Chediak-Higashi
high AFP
ataxia telangiectasia
infections with DiGeorge
viral
fungal
protozoa
defective DNA nonhomologous end joining repair
ataxia telangiectasia
mutation in STAT3 signalling protein
Hyper-IgE (Job)
ATAXIA
Ataxia Telangiectasia/Tracking eye difficulties Acute leukemia + lymphoma X-ray sensitivity IgA def AFP
high: IgE, eosinophils
Hyper-IgE (Job)
IL-12 receptor deficiency
no T cell proliferation
- mycobacterial
- fungal infections
no NADPH oxidase
chronic granulomatous disease
no class switching
hyper-IgM
chronic mucocutaneous candidiasis
T cell dysfunction against Candida
partial albinism + recurrent respiratory/lung infections (Staph, Strep) + neuro
Chediak-Higashi
ADA deficiency
SCID
defect in early stem cell differentiation
SCID
X-linked (4)
Bruton
hyper IgM
Wiskott-Aldrich
chronic granulomatous disease
deficient CD40L-Cd40 interaction
hyper-IgM
low: IgA, T cells
sinus + lung infections
ataxia telangiectasia
WAITER
Wiskott
Aldrich
Immunodeficiency
Thrombocytopenia + purpura
Eczema
Recurrent pyogenic infections
increased risk of lymphoma + acute leukemias
ataxia telangiectasia
anaphylaxis to blood transfusions + products
IgA deficiency
CXR newborn; NO thymus
SCID
Eczema
Wiskott-Aldrich
radiation sensitivity
ataxia telangiectasia
retain baby teeth –> 2 rows of teeth
Hyper-IgE (Job)
Bruton infections
after 3-6 months (once immunity from mom goes away)
- polio
- coxsackie
- Garidia
*avoid live vaccines
defective phagocyte lysosomes
Chediak-Higashi
atophy, asthma
IgA deficiency
high: IgM
hyper-IgM syndrome
abnormal integrins (phagocytes can’t exit circulation)
leukocyte adhesion deficiency syndrome
delayed separation of umbilical cord
leukocyte adhesion deficiency syndrome
susceptible to S. aureeus + Aspergillus + Nocardia
chronic granulomatous disease
defense relies on NK cells
SCID
no B or T cells
eczema + recurrent Staph abscesses/boils + corase facial features
Hyper-IgE (Job)
mutated WASP gene (cytoskeletal actin polymerization)
Wiskott-Aldrich
Thrombocytopenia + purpura
Wiskott-Aldrich
impaired differentation of Th-17 cells (recruit PMN)
Hyper-IgE (Job)
Hyper-IgE (Job)
- eczema
- recurrent cold Staph abscesses (boils)
- corase facial features
defective Tyr kinase gene
Bruton agammaglobulinemia
giant cytoplasmic granules in PMN
Chediak-Higashi
1) recurrent infections ( mucocutaneous candidiasis, RSV/VZV/HSV/measles/flu/parainfluenza, PCP)
2) chronic diarrhea
3) failure to thrive
SCID
healthy
viral sinus + lung infections
IgA deficiency
Chediak-Higashi
partial albinism
recurrent respiratory/lung infections
neuro
low: IgM, IgG –> B, T cells
high: IgA, IgE
Wiskott-Aldrich
TX for chronic granulomatous disease
TMP-SMA
itraconazole
IFN-g
lack CD 18
leukocyte adhesion deficiency
persistent leukocytosis (WBC)
leukocyte adhesion deficiency
abnormal gamma chain shared by several interleukin receptors
SCID