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. Author manuscript; available in PMC: 2021 Jun 5.
Published in final edited form as: J Clin Immunol. 2021 Jan 7;41(2):294–302. doi: 10.1007/s10875-020-00931-2

Table 2.

Definition of SCID variants based on Primary Immune Deficiency Treatment Consortium (PIDTC) criteria

Typical SCID Leaky (Atypical) SCID Omenn syndrome
Absence or very low number of T cells
(CD3 T cells <300/uL)
AND
No or very low T cell function (< 10% of lower limit of normal) as measured by lymphocyte proliferative response to mitogen phytohemagglutinin (PHA)
AND/ORM
T cells of maternal origin present
Reduced number of CD3 T cells
  • for age up to 2 years < 1000/uL

  • for > 2 years up to 4 years < 800/uL

  • for > 4 years < 600/uL

Absence of maternal engraftment
< 30% of lower limit of normal T cell function (as measured by lymphocyte proliferative response to mitogen PHA
Hypomorphic mutations in known SCID gene
Generalized skin rash
Absence of maternal engraftment
Detectable CD3 T cells, ≥ 300/mL
Absent or low (up to 30% of normal) T cell proliferation to antigens to which the patient has been exposed
If the proliferation to antigen was not performed, but at least 4 of the following supportive criteria, at least one of which must be among those marked with an asterisk (*) below, are present, the patient is eligible:
  • Hepatomegaly

  • Splenomegaly

  • Lymphadenopathy

  • Elevated IgE

  • Elevated absolute eosinophil count

  • *Oligoclonal T cells measured by CDR3 length or flow cytometry

  • *> 80% of CD3+ or CD4+ T cells are CD45RO+

  • *Proliferation to PHA is reduced < 30% of lower limit of normal

  • *Proliferative response in mixed leukocyte reaction is reduced < 30% of lower limit of normal

  • *Mutation in SCID-causing gene

Adapted from references [14, 15]