Table 3. Summary of Genotype with Immune and Clinical Phenotypes in our CORO1A Kindred.
CORO1A Kindred | Patient 1 Female (Index) | Patient 2 Male (Younger Sibling) | Patient 3, Mother | Patient 4, Father |
---|---|---|---|---|
Thymus | Present | Present | ND | ND |
Live Viral Vaccines | Tolerated | Tolerated | NA | NA |
Immune Phenotype | ||||
T-cells | Absent Naïve T-cells | Absent Naïve T-cells | Normal | Normal |
High DN (ϒδ) T-cells, | High DN (ϒδ) T-cells | Normal | Normal | |
Low CD4 T-cells | Low CD4 T-cells | Normal | Low CD4 T-cells | |
Low Mitogen LPA | Low Mitogen LPA | Normal | Normal | |
B-cells | Absent memory B-cells | Absent memory B-cells | Normal | Normal |
High IgE | High IgE | ND | ND | |
Normal IgG | Normal IgG, M, A | ND | ND | |
Low IgM, IgA | ||||
Specific Antibody Loss (Table 2) | Specific Antibody intact | ND | ||
NK-cells (nadir) | Low (9%) | Low (5%) | Low (2%) | Normal |
Clinical Phenotype | ||||
Onset (7 years) | Cutaneous Leprosy | Cutaneous EV-HPV* | No disease | No disease |
Mucocutaneous HSV-1 | Cutaneous Molluscum* | |||
Rhinosinusitis* | Rhinosinusitis* | |||
Asthma* | Asthma* | |||
Bronchiectasis* | Bronchiectasis* | |||
Staphylococcal cellulitis | Parvovirus B19 Sepsis | |||
Mid (9–10 years) | Cutaneous EV-HPV*, types 5 & 17 | Mucosal HSV | No disease | No disease |
Cutaneous Molluscum* | ||||
Staphylococcal cellulitis | ||||
Late (14–16 years) | Lymphoma | NA | No disease | No disease |
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Malignancy | Yes | No | No | No |
Survival | Death, 16 years of age | Alive | Alive | Alive |
Other | ||||
Autism/ADHD Disorders | No | No | No | No |
Dysmorphic features | No | Subtle | No | No |
Abnormalities in the immunologic and clinical presentations are shown. Immune abnormalities were persistent from the onset of findings stated. The clinical findings are arranged by periods in year of presentation. All phenotypic manifestations presented prior to stem cell transplantations (SCT). SCT for P1, haploidentical maternal donor at 15 years of age before CORO1A diagnosis was known and for P2, in preparation upon confirmation of this CORO1A finding
Persistent diseases
Abbreviations: ADHD, attention deficit hyperactivity disorder, NA, not applicable; ND, not done