TABLE 1.
Major clinical phenotypesa associated with defects in: | |||
---|---|---|---|
Adaptive immune system (combined PIDs) |
Innate immune system |
||
B cell defectsb | T cell defectsc | Phagocyte defectsb | Complement defectsd |
Recurrent bacterial sinopulmonary infections | Failure to thrive (FTT) | Multiple or recurrent soft tissue abscesses, lymphadenitis | Angioedema of face, extremities, and/or GI tract |
Sepsis (bacterial) | Opportunistic infections (e.g., PJP) | Soft tissue granulomas or infections with catalase-positive organisms or certain fungi (e.g., Aspergillus) | Pyogenic infections |
Recurrent bacterial sinopulmonary infections or bacterial sepsis with encapsulated organisms | Fungal infections | Improper wound healing | Recurrent or systemic neisserial infections |
Recurrent or chronic gastroenteritis (e.g., with enteroviruses or Giardia) | Recurrent, severe, or unusual viral infections | Gingivitis and periodontitis, chronic | Atypical hemolytic-uremic syndrome and/or thrombotic microangiopathy |
Bronchiectasis with no clear cause | Graft-vs-host-type phenotype with elevated liver function tests, chronic GI manifestations (diarrhea) | Ulcerations of the mucosa | |
Enteroviral meningoencephalitis, usually chronic | Delayed separation of the umbilical cord |
PIDs, primary immunodeficiencies: GI, gastrointestinal; PJP, Pneumocystis jirovecii pneumonia.
Found by flow cytometry and genetic testing.
Found by flow cytometry and nongenetic molecular tests to assess thymic function and T cell repertoire diversity and by genetic testing.
Found primarily by serological testing and genetic testing.