Table 1. Clinical and Immunological features of patients with XLA in the present cohort.
Clinical and immunological characteristics | P1 | P2 | P3 | P4 | P5 |
---|---|---|---|---|---|
Age at onset | 1 year | 5 months | 7 months | 5 months | 6 months |
Age at diagnosis | 7 years | 1 year 7 months | 1 year 6 months | 6 months | 8 years |
Type of infections | Pneumonia, Pyoderma, Pyogenic meningitis | Pneumonia, Acute suppurative otitis media, Diarrhea, Oral thrush | Pneumonia Diarrhea Pyoderma |
Diarrhea | Pneumonia, Pyogenic meningitis Diarrhea, pyoderma |
Absent / atrophic tonsils | yes | yes | yes | yes | yes |
Sibling death | yes | no | yes | yes | no |
No. of hospitalizations before diagnosis | 2 | >15 | 1 | 2 | >10 |
No. of PICU admissions | none | 2 | 1 | none | 1 |
Immunoglobulin assay | IgG low, IgA low, IgM low | IgG low, IgA low, IgM normal | IgG low, IgA normal, IgM normal | IgG low, Ig A low, IgM normal | IgG low, IgA low, IgM normal |
CD 19 count at diagnosis (N) In cells/mm3 | 0 (91–610) | 0 (430–3300) | 8 (430–3300) | 10 (430–3300) | 10 (91–610) |
CD 3 count at diagnosis (N) in cells/mm3 | 6458 (570–2400) | 5475 (1460–5440) | 6400 (1460–5440) | 4169 (1900–5900) | 9553 (570–2400) |
CD 56 count at diagnosis (N) in cells/mm3 | 355 (78–470) | 7.0175 (80–340) | 160 (80–340) | 661 (160–950) | 528 (78–470) |
Onset to IVIG start | Not on regular IVIG | 1 year, 2 months | 11 months | 1 month | Not on regular IVIG |
Complications | Bronchiectasis | None | None | None | Bronchiectasis, Arthritis |
Outcome | Stunted growth, | Stunted growth, Cured–HSCT from matched sibling donor (twin) at 6.5 years | Stunted growth Died | Cured-HSCT from matched sibling donor at 2 years | Stunted growth and delayed puberty |