Table I.
Patient | Gender | Mutationa | DOCK8 protein expressionb | Clinical manifestations of DOCK8 | IVIG Pre-HSCT | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Eczema | Food allergies | Infections | Fungal | Other | ||||||||
Bacterial | Viral | |||||||||||
Recurrent sinopulmonary infections | Skin abscesses | Cutaneous | Systemic | |||||||||
1 | M | +1 IVS44 G>A | Reduced | + | + | + | − | − | EBV | − | − | |
2 | F | Del ex 29–36 | − | + | + | + | − | HSV HPV |
− | − | Asthma | + |
3 | F | Del ex 1–2 | − | + | − | + | + | MC | EBV | + | Asthma, poor dentition | − |
4 | F | Del ex 1–23 | − | + | + | + | + | HSV HPV |
CMV | Asthma, liver failure, cryptosporidium induced sclerosing cholangitis | + | |
5c | F | Del ex 1–5 | − | + | + | + | + | HSV | − | − | Poor dentition | + |
6c | F | Del ex 1–5 | − | + | + | + | + | HSV | CMV | + | Asthma, poor dentition, severe bronchiectasis s/p lobar resections | + |
7 | M | Del ex 10–12 | − | + | + | − | − | HSV | VZV EBV CMV |
− | EBV-driven leiomyosarcoma, MRSA pericarditis, chronic cryptosporidium and Giardia | − |
8c | M | Del ex 1–5 | − | + | + | − | + | MC | − | − | + | |
9c | F | Del ex 1–5 | − | + | + | + | + | HSV | − | + | Asthma, poor dentition | + |
10c | M | Del ex 1–5 | − | + | + | − | − | MC | − | − | + | |
11c | F | Del ex 1–5 | − | + | + | + | − | HSV MC |
− | − | Poor dentition | + |
All mutations are homozygous.
DOCK8 protein expression by either Western blot or flow cytometry
Related patients (Patients 9 and 11 are sisters, patients 5, 6, 8, 9, 10 and 11 are cousins)
CMV: cytomegalovirus, Del: deletion, EBV: Epstein-Barr virus, F: female, HSCT: hematopoietic stem cell transplantation, HSV: herpes simplex virus, IVIG: intravenous immunoglobulins, M: male, MC: molluscum contagiosum, MRSA: methicillin-resistant Staphylococcus aureus, VZV: varicella zoster virus.