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A random Abstract
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Terminal deletion of 11q with significant late-onset combined immune deficiency.
[22q11.2 deletion syndrome]
We
report
a
45
-
year
old
female
adult
patient
with
terminal
deletion
of
chromosome
11
q
resulting
in
clinical
phenotype
of
late-onset
combined
immunodeficiency
.
We
describe
the
clinical
phenotype
and
discuss
the
similarities
between
our
patient
and
those
with
chromosome
22
q
11
.
2
deletion
syndrome
.
Immunological
evaluation
included
immunoglobulin
levels
,
vaccine
responses
,
number
and
function
of
T
,
NK
and
B
cell
subsets
and
comparative
genomic
hybridization
test
of
blood
and
fibroblasts
.
The
patient
suffered
from
recurrent
pneumococcal
pneumonia
and
genital
and
cutaneous
condylomas
.
She
had
a
history
of
learning
difficulties
,
dysmorphic
features
,
autoimmune
thyroiditis
,
chronic
thrombocytopenia
and
severe
asthma
.
We
found
Paris
-
Trousseau
type
thrombocytopenia
,
B-
,
T
-
and
NK-
lymphopenia
,
T
cell
oligoclonality
and
IgG
hypogammaglobulinemia
with
inability
to
respond
to
pneumococcal
polysaccharide
,
tetanus
and
diphtheria
vaccines
.
A
terminal
deletion
of
chromosome
11
q
compatible
with
partial
Jacobsen
syndrome
was
found
.
This
confirms
Jacobsen
syndrome
as
a
chromosome
deletion
syndrome
able
to
cause
combined
immunodeficiency
.
Diseases
Validation
Diseases presenting
"pneumonia"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
allergic bronchopulmonary aspergillosis
alpha-thalassemia
classical phenylketonuria
cohen syndrome
congenital diaphragmatic hernia
heparin-induced thrombocytopenia
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
lamellar ichthyosis
legionellosis
liposarcoma
lymphangioleiomyomatosis
monosomy 21
oculocutaneous albinism
omenn syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
scrub typhus
severe combined immunodeficiency
triple a syndrome
waldenström macroglobulinemia
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated