Table 1. Clinical characteristics, laboratory examination and pathogenic gene detection of children with immunodeficiency.
Case | Gender | Age at onset | Clinical features | IgA (g/L) | IgM (g/L) | IgG (g/L) | CD3+ T (/μL) | CD8+ T (/μL) | CD4+ T (/μL) | NK cells (/μL) |
---|---|---|---|---|---|---|---|---|---|---|
P1 | Male | 1 year and 9 months | Repeated fever, with an oblique angle of the mouth, had a small abscess in the right hip, hip abscess incision, and drainage, postoperative right hip muscle atrophy | 0.02↓ | 0.01↓ | 0.01↓ | 898.00 | 389.00 | 175.00 | 2,126.00 |
P2 | Male | 10 years old | Repeated lung infection, one brother died of infection | 0.03↓ | 0.15↓ | 1.80↓ | 1,506.00 | 1,207.50 | 1,182.16 | 194.00 |
P3 | Male | 1 year old | Repeated pulmonary infection | 0.05↓ | 0.20↓ | 1.14↓ | 6,757.00 | 1,593.00 | 4,584.00 | 154.00 |
P4 | Male | 4 months | Repeated pulmonary infection, lung abscess, with diarrhea | 0.66 | 1.25 | 7.30 | 1,588.60 | 502.05 | 1,051.41 | 180.07 |
P5 | Male | 4 months | Severe sepsis, multiple organ dysfunction | 0.00↓ | 0.15↓ | 1.13↓ | 8.00↓ | 3.00↓ | 3.00↓ | 16.00↓ |
P6 | Male | 13 years old | Bronchiectasis, oral candida infection (thrush), body spasm, malnutrition (severe), chronic superficial gastritis, hepatic bile duct dilatation, fistula | 3.91 | 0.78 | 8.77 | 423.00↓ | 193.00↓ | 180.00↓ | 20.00↓ |
P7 | Female | 7 years old | Bronchial pneumonia, fungal infection (candida infection), diabetic ketoacidosis, otitis media | 0.14↓ | 0.36↓ | 3.34↓ | 597.00↓ | 258.00↓ | 269.00↓ | 58.00 |
Case | Gender | Age at onset | Clinical features | B cell (/ìL) |
Mutant gene | Codon change | Amino acid change | Mutation type | Diagnosis | Treatment and prognosis |
P1 | Male | 1 year and 9 months | Repeated fever, with an oblique angle of the mouth, had a small abscess in the right hip, hip abscess incision, and drainage, postoperative right hip muscle atrophy | 0.00↓ | BTK | c.1921C>T | p. Arg641Cys | Hemizygous | XLA | Anti-infective and anti-fungal treatment, left abdominal dyskinesia, regular IVIG |
P2 | Male | 10 years old | Repeated lung infection, one brother, died of infection | 3.00↓ | BTK | c.906-908del | p. Gly303del | Mixed | XLA | Anti-infective and anti-fungal treatment, combined with poor prognosis of bronchiectasis |
P3 | Male | 1 year old | Repeated pulmonary infection | 0 | BTK | c.718delG | p. Glu240fs | Hemizygous | XLA | Early diagnosis, no serious infection, no prognosis, regular IVIG |
P4 | Male | 4 months | Repeated pulmonary infection, lung abscess, with diarrhea | 929.3 | CYBB | c.469C>T | p. Arg157X | Hemizygous | XCGD | Anti-infective and anti-fungal treatment, Shanghai blood stem cell transplantation therapy |
P5 | Male | 4 months | Severe sepsis, multiple organ dysfunction | 12.00↓ | IL2RG | c.202G>A | p. Glu68Lys | Hemizygous | XSCID | Death after giving up treatment |
P6 | Male | 13 years old | Bronchiectasis, oral candida infection (thrush), body spasm, malnutrition (severe), chronic superficial gastritis, hepatic bile duct dilatation, fistula | 126.00 | STAT1 | c.854A>G | p. Glu285Asp | Mixed | PID (STAT1) | Anti-infective and anti-fungal treatment, combined with poor prognosis of bronchiectasis |
P7 | Female | 7 years old | Bronchial pneumonia, fungal infection (candida infection), diabetic ketoacidosis, otitis media | 38↓ | STAT1 | c.1154C>T | p. Thr385Met | Mixed | PID (STAT1) | Anti-infective and anti-fungal treatment, standardized management of diabetes |