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Primary immunodeficiency

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454:(GVHD), a subject of ongoing investigation. VSTs have been produced primarily by ex-vivo cultures and by the expansion of T-lymphocytes after stimulation with viral antigens. This is carried out by using donor-derived antigen-presenting cells. These new methods have reduced culture time to 10–12 days by using specific cytokines from adult donors or virus-naive cord blood. This treatment is far quicker and with a substantially higher success rate than the 3–6 months it takes to carry out HSCT on a patient diagnosed with a primary immunodeficiency. T-lymphocyte therapies are still in the experimental stage; few are even in clinical trials, none have been FDA approved, and availability in clinical practice may be years or even a decade or more away. 272:"possible" in the diagnosis of primary immunodeficiency. "Definitive" diagnosis is made when it is likely that in 20 years, the patient has a >98% chance of the same diagnosis being made; this level of diagnosis is achievable with the detection of a genetic mutation or very specific circumstantial abnormalities. "Probable" diagnosis is made when no genetic diagnosis can be made, but the patient has all other characteristics of a particular disease; the chance of the same diagnosis being made 20 years later is estimated to be 85-97%. Finally, a "possible" diagnosis is made when the patient has only some of the characteristics of a disease which are present, but not all. 88:(IEIs) as of 2019, the vast majority of which are PIDs, most are very rare. About 1 in 500 people in the United States are born with a primary immunodeficiency. Immune deficiencies can result in persistent or recurring infections, auto-inflammatory disorders, tumors, and disorders of various organs. There are currently limited treatments available for these conditions; most are specific to a particular type of PID. Research is currently evaluating the use of stem cell transplants (HSCT) and experimental gene therapies as avenues for treatment in limited subsets of PIDs. 36: 271:
Criteria for diagnosis were agreed in 1999. For instance, an antibody deficiency can be diagnosed in the presence of low immunoglobulins, recurrent infections and failure of the development of antibodies on exposure to antigens. The 1999 criteria also distinguish between "definitive", "probable" and
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Virus-specific T-lymphocytes (VST) therapy is used for patients who have received hematopoietic stem cell transplantation that has proven to be unsuccessful. It is a treatment that has been effective in preventing and treating viral infections after HSCT. VST therapy uses active donor T-cells that
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The treatment of primary immunodeficiencies depends foremost on the nature of the abnormality. Somatic treatment of primarily genetic defects is in its infancy. Most treatment is therefore passive and palliative, and falls into two modalities: managing infections and boosting the immune system.
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By definition, primary immune deficiencies are due to genetic causes. They may result from a single genetic defect, but most are multifactorial. They may be caused by recessive or dominant inheritance. Some are latent, and require a certain environmental trigger to become manifest, like the
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recognizes nine classes of primary immunodeficiencies, totaling over 120 conditions. A 2014 update of the classification guide added a 9th category and added 30 new gene defects from the prior 2009 version. As of 2019, there are approximately 430 forms of PID that have been identified.
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to more specific self-inactivating vector platforms around 2006. The viral vectors randomly insert their sequences into the genomes. However, it is rarely used because of a risk of developing post-treatment T-cell leukemia as a result of interfering
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A survey of 10,000 American households revealed that the prevalence of diagnosed primary immunodeficiency approaches 1 in 1200. This figure does not take into account people with mild immune system defects who have not received a formal diagnosis.
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Genova E, Cavion F, Lucafò M, Pelin M, Lanzi G, Masneri S, et al. (August 2020). "Biomarkers and Precision Therapy for Primary Immunodeficiencies: An In Vitro Study Based on Induced Pluripotent Stem Cells From Patients".
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which has been in a trial for few immune deficiencies affecting the hematopoietic system. Over the past two decades there were some successful treatments of patients with specific primary immunodeficiencies (PID), including
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Conley ME, Notarangelo LD, Etzioni A (December 1999). "Diagnostic criteria for primary immunodeficiencies. Representing PAGID (Pan-American Group for Immunodeficiency) and ESID (European Society for Immunodeficiencies)".
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The precise symptoms of a primary immunodeficiency depend on the type of defect. Generally, the symptoms and signs that lead to the diagnosis of an immunodeficiency include recurrent or persistent
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as a result of infection. Particular organ problems (e.g. diseases involving the skin, heart, facial development and skeletal system) may be present in certain conditions. Others predispose to
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Induced pluripotent stem cells obtained reprogramming patients' cells, for example leukocytes, are a promising tool to study these pathologies and develop personalized therapies.
878:"Primary immunodeficiency diseases: an update on the classification from the international union of immunological societies expert committee for primary immunodeficiency" 2032: 376:(IVIG) or subcutaneous immunoglobulin (SCIG) may be available. Antibiotic prophylaxis is also commonly used to prevent respiratory tract infections in these patients. 84:; the majority are diagnosed in children under the age of one, although milder forms may not be recognized until adulthood. While there are over 430 recognized 1600: 1315:
Porta F, Forino C, De Martiis D, Soncini E, Notarangelo L, Tettoni K, et al. (June 2008). "Stem cell transplantation for primary immunodeficiencies".
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Due to the rarity of many primary immunodeficiencies, many of the above tests are highly specialised and tend to be performed in research laboratories.
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presence in the environment of a reactive allergen. Other problems become apparent due to aging of bodily and cellular maintenance processes.
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are isolated from alloreactive T-cells which have proven immunity against one or more viruses. Such donor T-cells often cause acute
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and because of ethical issues. But the progress in gene therapy is promising for the future of treating primary immunodeficiencies.
116:). The nature of the infections, as well as the additional features, may provide clues as to the exact nature of the immune defect. 443: 2322: 1989: 1691: 432: 2345: 1994: 2279: 479:
Discovery of novel genetic causes of innate immunodeficiencies accelerated greatly in the 2010s due to high-throughput
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Tests for B cell function: antibodies to routine immunisations and commonly acquired infections, quantification of
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Al-Herz W, Bousfiha A, Casanova JL, Chatila T, Conley ME, Cunningham-Rundles C, et al. (22 April 2014).
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does not exist a causal therapy that would "repair" the mutation. Although there is a therapeutic option,
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Tangye SG, Al-Herz W, Bousfiha A, Chatila T, Cunningham-Rundles C, Etzioni A, et al. (January 2020).
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is an exception, and is present in 1 in 500 people. Some of the more frequently seen forms of PID include
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Different forms of PID have different mechanisms. Rough categorizations of conditions divide them into
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Picard C, Bobby Gaspar H, Al-Herz W, Bousfiha A, Casanova JL, Chatila T, et al. (January 2018).
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Notarangelo L, Casanova JL, Conley ME, Chapel H, Fischer A, Puck J, et al. (April 2006).
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Erjavec SO, Gelfman S, Abdelaziz AR, Lee EY, Monga I, Alkelai A, et al. (February 2022).
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Quantification of the different types of mononuclear cells in the blood (i.e. lymphocytes and
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Naik S, Nicholas SK, Martinez CA, Leen AM, Hanley PJ, Gottschalk SM, et al. (May 2016).
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Cavazzana M, Six E, Lagresle-Peyrou C, André-Schmutz I, Hacein-Bey-Abina S (February 2016).
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in 1952. Primary immunodeficiencies were initially classified in 1970 by a committee of the
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Reduction of exposure to pathogens may be recommended, and in many situations prophylactic
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may be possible for Severe Combined Immune Deficiency and other severe immunodeficiences.
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Please help update this article to reflect recent events or newly available information.
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Bucciol G, Moens L, Bosch B, Bossuyt X, Casanova JL, Puel A, Meyts I (February 2019).
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Grammatikos A, Albur M, Gompels M, Barnaby CL, Allan S, Johnston S (October 2020).
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The basic tests performed when an immunodeficiency is suspected should include a
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was one of the first described primary immunodeficiencies, discovered by
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has been checked and does not affect the cited material, please replace
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Grammatikos A, Bright P, Bhatnagar R, Johnston S (September 2020).
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technologies. As of 2019, more than 430 have been categorized.
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Other tests are performed depending on the suspected disorder:
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Booth C, Romano R, Roncarolo MG, Thrasher AJ (October 2019).
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Notarangelo LD, Bacchetta R, Casanova JL, Su HC (July 2020).
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is missing or does not function normally. To be considered a
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levels (the three most important types of antibodies:
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Cooper MA, Pommering TL, Korányi K (November 2003).
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Resulting from inborn deficiencies in immune system
1035: 431:Milder forms of primary immunodeficiency, such as 386:For primary immunodeficiencies that are caused by 383:therapies like corticosteroids may be prescribed. 1231:Rabino I (2003). "Gene therapy: ethical issues". 1172: 2367: 1031: 1029: 397:X-linked severe combined immunodeficiency (SCID) 176:(dependent on their cell surface markers, e.g. 1580:International Union of Immunological societies 1533:The Journal of Allergy and Clinical Immunology 1356:The Journal of Allergy and Clinical Immunology 967:The Journal of Allergy and Clinical Immunology 410:Gene therapy evolved in the 90s from using of 288:International Union of Immunological Societies 2026: 1601: 1435:Bruton OC (June 1952). "Agammaglobulinemia". 1026: 1273: 573: 1130:"Gene therapy for primary immunodeficiency" 2033: 2019: 1826:Purine nucleoside phosphorylase deficiency 1674:Transient hypogammaglobulinemia of infancy 1608: 1594: 1036:McCusker C, Warrington R (November 2011). 231:Tests for T cell function: skin tests for 69:are disorders in which part of the body's 1552: 1503: 1375: 1291: 1267: 1207: 1155: 1145: 1104: 1063: 1053: 978: 903: 893: 808: 764: 739:Lim MS, Elenitoba-Johnson KS (May 2004). 734: 732: 730: 728: 726: 724: 704: 648: 599: 550: 2164: 1042:Allergy, Asthma, and Clinical Immunology 1274:Boyle JM, Buckley RH (September 2007). 869: 14: 2368: 2323:Neutrophil-specific granule deficiency 2224: 2117: 1990:Terminal complement pathway deficiency 1434: 1402:Clinical Pharmacology and Therapeutics 1230: 946:|...|checked=yes}} 721: 510: 2014: 1589: 433:selective immunoglobulin A deficiency 91: 2346:Neutrophil immunodeficiency syndrome 995: 745:The Journal of Molecular Diagnostics 674: 672: 670: 668: 592:10.1146/annurev-pathol-031920-101429 574:Casanova JL, Abel L (January 2021). 29: 1995:Paroxysmal nocturnal hemoglobinuria 954: 216:+), as well as activation markers: 24: 1233:Theoretical Medicine and Bioethics 379:In cases of autoimmune disorders, 282:List of primary immunodeficiencies 275: 25: 2387: 1573: 665: 403:and metabolic conditions such as 317:Most forms of PID are very rare. 286:There are many forms of PID. The 2239:Granulocytopenia/agranulocytosis 1758:Common variable immunodeficiency 327:severe combined immunodeficiency 323:common variable immunodeficiency 34: 18:Primary immunodeficiency disease 1930:Idiopathic CD4+ lymphocytopenia 1520: 1471: 1428: 1392: 1343: 1308: 1224: 1121: 1080: 422: 258:nitro blue tetrazolium chloride 2000:Complement receptor deficiency 1870:Adenosine deaminase deficiency 1484:Journal of Clinical Immunology 1280:Journal of Clinical Immunology 1093:Clinical Infection in Practice 833: 685:Journal of Clinical Immunology 616: 567: 13: 1: 2341:Chronic granulomatous disease 2301:Leukocyte adhesion deficiency 2247:Severe congenital neutropenia 2098:Chronic granulomatous disease 757:10.1016/S1525-1578(10)60493-X 503: 233:delayed-type hypersensitivity 1106:10.1016/j.clinpr.2020.100048 1004:"Primary immunodeficiencies" 348: 128: 7: 1669:X-linked agammaglobulinemia 1368:10.1016/j.jaci.2015.12.1311 1317:Bone Marrow Transplantation 980:10.1016/j.jaci.2005.12.1347 486: 466:X-linked agammaglobulinemia 438: 331:X-linked agammaglobulinemia 10: 2392: 2351:Myeloperoxidase deficiency 2193:Hypereosinophilic syndrome 1545:10.1016/j.jaci.2018.07.013 1055:10.1186/1710-1492-7-S1-S11 1038:"Primary immunodeficiency" 810:10.1016/j.rmed.2020.106100 697:10.1007/s10875-019-00737-x 641:10.1126/sciimmunol.abb1662 580:Annual Review of Pathology 543:10.1038/s41467-022-28343-3 460: 374:intravenous immunoglobulin 279: 67:Primary immunodeficiencies 2331: 2287: 2278: 2217: 2157: 2148: 2110: 2073: 2066: 2053: 1938: 1915: 1897: 1845: 1775: 1750: 1682: 1659: 1640: 1631: 1496:10.1007/s10875-017-0464-9 1293:10.1007/s10875-007-9103-1 1008:American Family Physician 498:Inborn errors of immunity 474:World Health Organization 452:graft-versus-host disease 370:humoral immune deficiency 119: 86:inborn errors of immunity 43:This article needs to be 2318:ChĂ©diak–Higashi syndrome 2280:Disorder of phagocytosis 1885:Bare lymphocyte syndrome 1737:Wiskott–Aldrich syndrome 1134:Human Molecular Genetics 925:10.3389/fimmu.2014.00460 895:10.3389/fimmu.2014.00162 401:Wiskott–Aldrich syndrome 335:Wiskott–Aldrich syndrome 264:, bactericidal activity. 1985:Complement 3 deficiency 1970:Complement 4 deficiency 1966:Complement 2 deficiency 1245:10.1023/a:1022967623162 882:Frontiers in Immunology 412:gammaretroviral vectors 256:function: reduction of 172:): different groups of 855:10.1006/clim.1999.4799 444:Bone marrow transplant 417:tumor-suppressor genes 239:and allogeneic cells, 1960:Hereditary angioedema 1816:Ataxia–telangiectasia 1661:Hypogammaglobulinemia 938:|...}} 523:Nature Communications 343:ataxia–telangiectasia 208:and immunoglobulin), 1980:Properdin deficiency 1801:Di George's syndrome 1684:Dysgammaglobulinemia 1449:10.1542/peds.9.6.722 1323:(Suppl 2): S83–S86. 1200:10.1089/hum.2015.137 797:Respiratory Medicine 235:, cell responses to 210:natural killer cells 137:(including accurate 1362:(5): 1498–1505.e1. 1329:10.1038/bmt.2008.61 843:Clinical Immunology 535:2022NatCo..13..800E 243:production by cells 102:developmental delay 2251:Cyclic neutropenia 1832:Hyper IgM syndrome 1742:Hyper-IgE syndrome 1707:Hyper IgM syndrome 1623:disorders causing 1188:Human Gene Therapy 1147:10.1093/hmg/ddz170 629:Science Immunology 106:autoimmune disease 92:Signs and symptoms 2363: 2362: 2359: 2358: 2333:Respiratory burst 2274: 2273: 2270: 2269: 2213: 2212: 2144: 2143: 2140: 2139: 2106: 2105: 2008: 2007: 1893: 1892: 1792:thymic hypoplasia 1777:T cell deficiency 1771: 1770: 1014:(10): 2001–2008. 381:immunosuppression 339:DiGeorge syndrome 82:genetic disorders 64: 63: 16:(Redirected from 2383: 2376:Immunodeficiency 2285: 2284: 2232: 2222: 2221: 2172: 2162: 2161: 2155: 2154: 2125: 2115: 2114: 2081: 2071: 2070: 2064: 2063: 2035: 2028: 2021: 2012: 2011: 1880:ZAP70 deficiency 1811:Nezelof syndrome 1657: 1656: 1638: 1637: 1625:immunodeficiency 1610: 1603: 1596: 1587: 1586: 1567: 1566: 1556: 1524: 1518: 1517: 1507: 1475: 1469: 1468: 1432: 1426: 1425: 1414:10.1002/cpt.1837 1396: 1390: 1389: 1379: 1347: 1341: 1340: 1312: 1306: 1305: 1295: 1271: 1265: 1264: 1228: 1222: 1221: 1211: 1179: 1170: 1169: 1159: 1149: 1125: 1119: 1118: 1108: 1084: 1078: 1077: 1067: 1057: 1048:(Suppl 1): S11. 1033: 1024: 1023: 999: 993: 992: 982: 958: 952: 951: 949: 947: 939: 917: 907: 897: 873: 867: 866: 837: 831: 830: 812: 788: 779: 778: 768: 736: 719: 718: 708: 676: 663: 662: 652: 635:(49): eabb1662. 620: 614: 613: 603: 571: 565: 564: 554: 514: 493:Immunodeficiency 388:genetic mutation 365:may be advised. 296:humoral immunity 135:full blood count 78:immunodeficiency 59: 56: 50: 38: 37: 30: 21: 2391: 2390: 2386: 2385: 2384: 2382: 2381: 2380: 2366: 2365: 2364: 2355: 2327: 2266: 2225: 2209: 2165: 2136: 2118: 2102: 2074: 2049: 2039: 2009: 2004: 1941: 1934: 1922:Lymphocytopenia 1920: 1911: 1889: 1865: 1852: 1841: 1797:hypoparathyroid 1779: 1767: 1746: 1678: 1648: 1627: 1614: 1576: 1571: 1570: 1525: 1521: 1476: 1472: 1433: 1429: 1397: 1393: 1348: 1344: 1313: 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deficiency 1972: 1963: 1946: 1944: 1936: 1935: 1933: 1932: 1926: 1924: 1913: 1912: 1910: 1909: 1903: 1901: 1895: 1894: 1891: 1890: 1888: 1887: 1882: 1877: 1875:Omenn syndrome 1872: 1856: 1854: 1843: 1842: 1840: 1839: 1820: 1819: 1813: 1804: 1787: 1785: 1773: 1772: 1769: 1768: 1766: 1765: 1760: 1754: 1752: 1748: 1747: 1745: 1744: 1739: 1734: 1728: 1723: 1718: 1713: 1704: 1702:IgM deficiency 1699: 1697:IgG deficiency 1694: 1692:IgA deficiency 1688: 1686: 1680: 1679: 1677: 1676: 1671: 1665: 1663: 1654: 1635: 1629: 1628: 1613: 1612: 1605: 1598: 1590: 1584: 1583: 1575: 1574:External links 1572: 1569: 1568: 1539:(2): 507–527. 1519: 1470: 1443:(6): 722–728. 1427: 1408:(2): 358–367. 1391: 1342: 1307: 1286:(5): 497–502. 1266: 1223: 1194:(2): 108–116. 1171: 1120: 1079: 1025: 994: 973:(4): 883–896. 953: 868: 849:(3): 190–197. 832: 780: 720: 664: 615: 566: 508: 507: 505: 502: 501: 500: 495: 488: 485: 481:DNA sequencing 462: 459: 440: 437: 424: 421: 405:leukodystrophy 350: 347: 319:IgA deficiency 280:Main article: 277: 274: 266: 265: 250: 248:IgG subclasses 244: 229: 147:immunoglobulin 130: 127: 121: 118: 93: 90: 62: 61: 42: 40: 33: 26: 9: 6: 4: 3: 2: 2388: 2377: 2374: 2373: 2371: 2352: 2349: 2347: 2344: 2342: 2339: 2338: 2336: 2334: 2330: 2324: 2321: 2319: 2316: 2312: 2309: 2307: 2304: 2303: 2302: 2299: 2298: 2296: 2294: 2293:degranulation 2290: 2286: 2283: 2281: 2277: 2262: 2259: 2257: 2254: 2252: 2248: 2244: 2240: 2237: 2236: 2234: 2231: 2229: 2223: 2220: 2216: 2204: 2201: 2199: 2196: 2194: 2190: 2187: 2185: 2182: 2181: 2180: 2177: 2176: 2174: 2171: 2169: 2163: 2160: 2156: 2153: 2151: 2147: 2133: 2132:Monocytopenia 2130: 2129: 2127: 2124: 2122: 2116: 2113: 2109: 2099: 2096: 2094: 2093:Histiocytosis 2091: 2089: 2086: 2085: 2083: 2080: 2078: 2072: 2069: 2065: 2062: 2060: 2056: 2052: 2048: 2044: 2036: 2031: 2029: 2024: 2022: 2017: 2016: 2013: 2001: 1998: 1996: 1993: 1991: 1988: 1986: 1983: 1981: 1978: 1976: 1973: 1971: 1967: 1964: 1961: 1957: 1953: 1952: 1948: 1947: 1945: 1943: 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1338: 1334: 1330: 1326: 1322: 1318: 1311: 1303: 1299: 1294: 1289: 1285: 1281: 1277: 1270: 1262: 1258: 1254: 1250: 1246: 1242: 1238: 1234: 1227: 1219: 1215: 1210: 1205: 1201: 1197: 1193: 1189: 1185: 1178: 1176: 1167: 1163: 1158: 1153: 1148: 1143: 1139: 1135: 1131: 1124: 1116: 1112: 1107: 1102: 1098: 1094: 1090: 1083: 1075: 1071: 1066: 1061: 1056: 1051: 1047: 1043: 1039: 1032: 1030: 1021: 1017: 1013: 1009: 1005: 998: 990: 986: 981: 976: 972: 968: 964: 957: 945: 937: 931: 926: 922: 915: 911: 906: 901: 896: 891: 887: 883: 879: 872: 864: 860: 856: 852: 848: 844: 836: 828: 824: 820: 816: 811: 806: 802: 798: 794: 787: 785: 776: 772: 767: 762: 758: 754: 750: 746: 742: 735: 733: 731: 729: 727: 725: 716: 712: 707: 702: 698: 694: 690: 686: 682: 675: 673: 671: 669: 660: 656: 651: 646: 642: 638: 634: 630: 626: 619: 611: 607: 602: 597: 593: 589: 585: 581: 577: 570: 562: 558: 553: 548: 544: 540: 536: 532: 528: 524: 520: 513: 509: 499: 496: 494: 491: 490: 484: 482: 477: 475: 471: 467: 458: 455: 453: 447: 445: 436: 434: 429: 420: 418: 413: 408: 406: 402: 398: 393: 389: 384: 382: 377: 375: 371: 366: 364: 360: 355: 346: 344: 340: 336: 332: 328: 324: 320: 315: 313: 309: 305: 301: 297: 292: 289: 283: 273: 269: 263: 259: 255: 251: 249: 245: 242: 238: 234: 230: 227: 223: 219: 215: 211: 207: 203: 199: 195: 194:B lymphocytes 192:), groups of 191: 187: 183: 179: 175: 174:T lymphocytes 171: 167: 166: 165: 162: 160: 156: 152: 148: 144: 140: 136: 126: 117: 115: 111: 107: 103: 99: 89: 87: 83: 79: 76: 72: 71:immune system 68: 58: 46: 41: 32: 31: 19: 2226: 2189:Eosinophilia 2184:Neutrophilia 2166: 2150:Granulocytes 2119: 2075: 2047:granulocytes 2041:Diseases of 1951:C1-inhibitor 1949: 1866: 1859: 1822: 1821: 1806: 1796: 1790: 1763:ICF syndrome 1632: 1536: 1532: 1522: 1487: 1483: 1473: 1440: 1436: 1430: 1405: 1401: 1394: 1359: 1355: 1345: 1320: 1316: 1310: 1283: 1279: 1269: 1239:(1): 31–58. 1236: 1232: 1226: 1191: 1187: 1137: 1133: 1123: 1096: 1092: 1082: 1045: 1041: 1011: 1007: 997: 970: 966: 956: 942:{{ 934:{{ 885: 881: 871: 846: 842: 835: 800: 796: 751:(2): 59–83. 748: 744: 691:(1): 24–64. 688: 684: 632: 628: 618: 583: 579: 569: 526: 522: 512: 478: 470:Ogden Bruton 464: 456: 448: 442: 430: 426: 423:Epidemiology 409: 392:gene therapy 385: 378: 367: 356: 352: 316: 293: 285: 270: 267: 260:, assays of 188:, TCRαβ and 163: 145:counts) and 132: 123: 95: 74: 66: 65: 52: 44: 2256:Eosinopenia 2243:Neutropenia 2088:Monocytosis 2059:macrophages 1823:peripheral: 359:antibiotics 314:disorders. 306:disorders, 298:disorders, 143:granulocyte 2289:Chemotaxis 2198:Basophilia 1956:Angioedema 1942:deficiency 1940:Complement 1917:Leukopenia 1867:autosomal: 1621:complement 1437:Pediatrics 1099:: 100048. 803:: 106100. 529:(1): 800. 504:References 363:antivirals 312:complement 308:phagocytic 262:chemotaxis 252:Tests for 228:(B cells). 139:lymphocyte 112:, such as 98:infections 55:March 2019 2261:Basopenia 2055:Monocytes 2043:monocytes 1860:x-linked: 1465:245180200 1115:228965989 928:. If the 827:221143773 586:: 23–50. 349:Treatment 254:phagocyte 170:monocytes 129:Diagnosis 2370:Category 2203:Bandemia 2168:-cytosis 2077:-cytosis 1907:HIV/AIDS 1899:Acquired 1850:combined 1642:Antibody 1617:Lymphoid 1563:30075154 1514:29226302 1457:14929630 1422:32243572 1386:26920464 1337:18545252 1302:17577648 1261:34605125 1253:12735489 1218:26790362 1166:31297531 1074:22165913 1020:14655810 989:16680902 914:24795713 863:10600329 819:32799060 775:15096561 715:31953710 659:32651211 610:32289233 561:35145093 487:See also 439:Research 241:cytokine 237:mitogens 114:lymphoma 1646:humoral 1633:Primary 1554:6358521 1505:5742601 1377:4860050 1209:4779287 1157:7773329 1065:3245434 944:erratum 936:erratum 930:erratum 905:4001072 888:: 162. 766:1867474 706:7082301 650:7647049 601:7923385 552:8831607 531:Bibcode 461:History 75:primary 45:updated 2228:-penia 2121:-penia 1863:X-SCID 1847:Severe 1582:(IUIS) 1561:  1551:  1512:  1502:  1463:  1455:  1420:  1384:  1374:  1335:  1300:  1259:  1251:  1216:  1206:  1164:  1154:  1113:  1072:  1062:  1018:  987:  912:  902:  861:  825:  817:  773:  763:  713:  703:  657:  647:  608:  598:  559:  549:  304:B-cell 300:T-cell 218:HLA-DR 120:Causes 110:cancer 1853:(B+T) 1751:Other 1461:S2CID 1257:S2CID 1111:S2CID 940:with 823:S2CID 190:TCRγδ 2311:LAD2 2306:LAD1 2291:and 2057:and 2045:and 1619:and 1559:PMID 1510:PMID 1453:PMID 1418:PMID 1382:PMID 1333:PMID 1298:PMID 1249:PMID 1214:PMID 1162:PMID 1070:PMID 1016:PMID 985:PMID 910:PMID 859:PMID 815:PMID 771:PMID 711:PMID 655:PMID 606:PMID 557:PMID 302:and 226:CD80 222:CD25 214:CD14 206:CD21 202:CD20 198:CD19 186:CD3+ 182:CD8+ 178:CD4+ 157:and 141:and 1549:PMC 1541:doi 1537:143 1500:PMC 1492:doi 1445:doi 1410:doi 1406:108 1372:PMC 1364:doi 1360:137 1325:doi 1288:doi 1241:doi 1204:PMC 1196:doi 1152:PMC 1142:doi 1101:doi 1097:7–8 1060:PMC 1050:doi 975:doi 971:117 921:doi 900:PMC 890:doi 851:doi 805:doi 801:171 761:PMC 753:doi 701:PMC 693:doi 645:PMC 637:doi 596:PMC 588:doi 547:PMC 539:doi 361:or 161:). 159:IgM 155:IgA 151:IgG 100:or 2372:: 1557:. 1547:. 1535:. 1531:. 1508:. 1498:. 1488:38 1486:. 1482:. 1459:. 1451:. 1439:. 1416:. 1404:. 1380:. 1370:. 1358:. 1354:. 1331:. 1321:41 1319:. 1296:. 1284:27 1282:. 1278:. 1255:. 1247:. 1237:24 1235:. 1212:. 1202:. 1192:27 1190:. 1186:. 1174:^ 1160:. 1150:. 1138:28 1136:. 1132:. 1109:. 1095:. 1091:. 1068:. 1058:. 1044:. 1040:. 1028:^ 1012:68 1010:. 1006:. 983:. 969:. 965:. 908:. 898:. 884:. 880:. 857:. 847:93 845:. 821:. 813:. 799:. 795:. 783:^ 769:. 759:. 747:. 743:. 723:^ 709:. 699:. 689:40 687:. 683:. 667:^ 653:. 643:. 631:. 627:. 604:. 594:. 584:16 582:. 578:. 555:. 545:. 537:. 527:13 525:. 521:. 407:. 399:, 345:, 341:, 337:, 333:, 329:, 325:, 224:, 220:, 204:, 200:, 184:, 180:, 153:, 2263:) 2249:/ 2245:/ 2241:( 2230:: 2218:↓ 2191:/ 2170:: 2158:↑ 2123:: 2111:↓ 2079:: 2067:↑ 2034:e 2027:t 2020:v 1968:/ 1962:) 1958:/ 1954:( 1919:: 1838:) 1836:1 1834:( 1818:) 1809:( 1803:) 1799:( 1794:: 1784:) 1782:T 1780:( 1733:) 1731:5 1726:4 1721:3 1716:2 1711:1 1709:( 1653:) 1651:B 1649:( 1644:/ 1609:e 1602:t 1595:v 1565:. 1543:: 1516:. 1494:: 1467:. 1447:: 1441:9 1424:. 1412:: 1388:. 1366:: 1339:. 1327:: 1304:. 1290:: 1263:. 1243:: 1220:. 1198:: 1168:. 1144:: 1117:. 1103:: 1076:. 1052:: 1046:7 1022:. 991:. 977:: 950:) 948:. 923:: 916:. 892:: 886:5 865:. 853:: 829:. 807:: 777:. 755:: 749:6 717:. 695:: 661:. 639:: 633:5 612:. 590:: 563:. 541:: 533:: 196:( 57:) 53:( 47:. 20:)

Index

Primary immunodeficiency disease
immune system
immunodeficiency
genetic disorders
inborn errors of immunity
infections
developmental delay
autoimmune disease
cancer
lymphoma
full blood count
lymphocyte
granulocyte
immunoglobulin
IgG
IgA
IgM
monocytes
T lymphocytes
CD4+
CD8+
CD3+
TCRγδ
B lymphocytes
CD19
CD20
CD21
natural killer cells
CD14
HLA-DR

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