Table IV.
Case number |
Gender | TREC average on initial specimen (TRECs/µL) |
Genotype | Phenotypeb | Outcome and treatment |
---|---|---|---|---|---|
1 | Female | Undetectable | IL7R (CD127-), c.353G>A, c.83-2A>T | T-B+NK+ Typical SCID CD3 (33), CD4 (22), CD8 (16), CD19 (866), CD16CD56 (409) |
Transplant at age 5 months, unrelated cord blood donor with (6 out 8 match) conditioning, patient currently doing well |
2 | Male | Undetectable | Etiology unknown; chromosome 3p13-p14.2 deletion (no known association with immunodeficiency) (arr 3p13p14.2 62465455-72819352x1); negative for ADA, AK2, CD3D, CD3E, CD3Z, DCLRE1C, IL2RG, IL7R, JAK3, LIG4, NHEJ1, PNP, PTPRC, RAC2, RAG1, RAG2, RMRP, ZAP70 mutations | T-B+NK+ CD3 (334), CD4 (108), CD8 (248), CD19 (378), CD16CD56 (882), CD45RA (<1), CD45RO (463), Absent antigen responses to Candida and tetanus toxoid, low to virtually absent mitogen responses |
Patient expired, MCA (cleft lip/palate, blepharophimosis, left iris coloboma, ASD, malrotation of small bowel, respiratory distress, thymic atrophy on autopsy) |
3 | Male | 65 | IL2RG mutation | T-B+NK+ Leaky SCID CD3 (235), CD4 (176), CD8 (22), CD19 (559), CD16CD56 (516) |
S/p HSCT, patient currently doing well |
4 | Female | Undetectable | ADA deficiency | T-B-NK- Typical SCID ALC (0.34), flow cytometry not done due to small number of lymphocytes in specimen |
Profound lymphopenia, Treatment: bactrim and fluconazole prophylaxis; Adagen started about 3 weeks after diagnosis |
5 | Male | Undetectable | IL2RG mutation | T-B+NK- Typical SCID CD3 (0), CD4 (0), CD8 (0), CD19 (3,519), CD16CD56 (71) |
Older brother with SCID, s/p HSCT |
6 | Male | Undetectable | ADA deficiency | T-B-NK- Typical SCID ALC (0.6), flow cytometry not done due to small number of lymphocytes in specimen |
Profound lymphopenia, Adagen bi-weekly |
7 | Male | Undetectable | IL2RG mutation | T-B+NK- Typical SCID CD3 (3), CD4 (1), CD8 (<1), CD19 (323), CD16CD56 (39) |
S/p HSCT |
8 | Male | Undetectable | Unknown; genetic testing not done | T-B+NK+ Typical SCID CD3 (28), CD4 (0), CD8 (0), CD19 (384), CD16CD56 (391) |
S/p HSCT |
9 | Female | 55 | Unknown; followed out of state | T-B+NK+ Typical SCID CD3 (45), CD4 (32), CD8 (25), CD19 (509), CD16CD56 (414) |
S/p HSCTat 3.5 months of age; h/o autoimmune hemolytic anemia at 11 months of age |
10 | Male | Undetectable | IL2RG mutation | T-B+NK- Typical SCID CD3 (<20), CD4 (<20), CD8 (<20), CD19 (498), CD16CD56 (47) |
S/p HSCT at 2 months of age with cord blood, patient currently doing well |
A specimen was submitted for a patient presenting in the PICU who was born 5 months before newborn screening for SCID started in NYS. The patient was diagnosed with SCID based on clinical symptoms. TRECs were undetectable. Two mutations were identified in JAK3. Data for this baby is not included in this report
(flow cytometry) is provided in cells/µL; reference values are not indicated since the flow analysis was performed in multiple testing laboratories