Additional diverse findings expand the clinical presentation of DOCK8 deficiency.
Additional diverse findings expand the clinical presentation of DOCK8 deficiency.
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DOI:
10.1007/s10875-012-9664-5
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发表时间:
2012-08
影响因子:
9.1
通讯作者:
Su HC
中科院分区:
文献类型:
--
作者:
Sanal O;Jing H;Ozgur T;Ayvaz D;Strauss-Albee DM;Ersoy-Evans S;Tezcan I;Turkkani G;Matthews HF;Haliloglu G;Yuce A;Yalcin B;Gokoz O;Oguz KK;Su HC
We describe seven Turkish children with DOCK8 deficiency who have not been previously reported. Three patients presented with typical features of recurrent or severe cutaneous viral infections, atopic dermatitis, and recurrent respiratory or gastrointestinal tract infections. However, four patients presented with other features. Patient 1-1 featured sclerosing cholangitis and colitis; patient 2-1, granulomatous soft tissue lesion and central nervous system involvement, with primary central nervous system lymphoma found on follow-up; patient 3-1, a fatal metastatic leiomyosarcoma; and patient 4-2 showed no other symptoms initially besides atopic dermatitis. Similar to other previously reported Turkish patients, but in contrast to patients of non-Turkish ethnicity, the patients’ lymphopenia was primarily restricted to CD4+ T cells. Patients had homozygous mutations in DOCK8 that altered splicing, introduced premature terminations, destabilized protein, or involved large deletions within the gene. Genotyping of remaining family members showed that DOCK8 deficiency is a fully penetrant, autosomal recessive disease. In our patients, bone marrow transplantation resulted in rapid improvement followed by disappearance of viral skin lesions, including lesions resembling epidermodysplasia verruciformis, atopic dermatitis, and recurrent infections. Particularly for patients who feature unusual clinical manifestations, immunological testing, in conjunction with genetic testing, can prove invaluable in diagnosing DOCK8 deficiency and providing potentially curative treatment.
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影响因子:
14.2
作者:
Villa, Anna;Notarangelo, Luigi D.;Roifman, Chaim M.
通讯作者:
Roifman, Chaim M.
DOI:
10.1182/asheducation-2009.1.132
发表时间:
2009-01-01
期刊:
Hematology. American Society of Hematology. Education Program
影响因子:
--
作者:
Thrasher, Adrian J
通讯作者:
Thrasher, Adrian J
DOI:
10.1111/j.1749-6632.2011.06295.x
发表时间:
2011-01-01
期刊:
YEAR IN HUMAN AND MEDICAL GENETICS: INBORN ERRORS OF IMMUNITY II
影响因子:
--
作者:
Su, Helen C.;Jing, Huie;Zhang, Qian
通讯作者:
Zhang, Qian
影响因子:
2.4
作者:
Boybeyi, Ozlem;Akcoren, Zuhal;Tanyel, F. Cahit
通讯作者:
Tanyel, F. Cahit
影响因子:
14.2
作者:
PAGANELLI, R;SCALA, E;AIUTI, F
通讯作者:
AIUTI, F