Clinical, immunologic, and genetic features of the patients
Patient no. . | Age at biopsy, mo . | ALC, cells/μL . | CD3+, cells/μL . | CD4+, cells/μL . | CD8+, cells/μL . | CD19+, cells/μL . | CD16+/CD56+, cells/μL . | Clinical features . | Mutation . | Diagnosis . |
---|---|---|---|---|---|---|---|---|---|---|
P1 | 10*† | 400 | < 1% | < 1% | < 1% | < 1% | < 1% | Pancytopenia, IUGR | AK2: c.400–401delCT/c. 614–615delGG | RD |
P2 | 7.5* | 729 | 114 | 0 | 40 | 721 | 16 | PCP | IL2RG: IVS3+1G>C | SCIDX1 |
P3 | 2 | 860 | 35 | 13 | 21 | 750 | 9 | Pneumonia, FTT | IL2RG: R258Q | SCIDX1 |
P4 | 10 | 2500 | 1600 | 1000 | 475 | 475 | 225 | PCP | IL2RG: R222C | SCIDX1 |
P5 | 2* | 323 | 45 | 6 | 39 | 26 | 13 | Disseminated candidiasis | Unknown | ADA-SCID‡ |
P6 | 2 | 1090 | 3 | 0 | 0 | 676 | 391 | Positive family history | CD3δ: R68X/R68X | CD3δ-SCID |
P7 | 3 | 900 | 0 | 9 | 1 | 2 | 280 | Positive family history | RAG2: g.4953delT/4953delT | T-B- SCID |
P8 | 3* | 8600 | 3698 | 946 | 1462 | NA | 3956 | ED, CD, FTT, myocarditis, IP | RAG2: R229Q/R229Q | OS |
P9 | 6.5 | 4591 | 2670 | 1669 | 125 | 1437 | 924 | ED, FTT, CD, bronchiolitis, lymphadenopathy, hepatosplenomegaly | RMRP: allele 1: ins ACTCTGTGAATACTCT GTGAAGCTGA at −10 allele 2: C4T | OS |
Patient no. . | Age at biopsy, mo . | ALC, cells/μL . | CD3+, cells/μL . | CD4+, cells/μL . | CD8+, cells/μL . | CD19+, cells/μL . | CD16+/CD56+, cells/μL . | Clinical features . | Mutation . | Diagnosis . |
---|---|---|---|---|---|---|---|---|---|---|
P1 | 10*† | 400 | < 1% | < 1% | < 1% | < 1% | < 1% | Pancytopenia, IUGR | AK2: c.400–401delCT/c. 614–615delGG | RD |
P2 | 7.5* | 729 | 114 | 0 | 40 | 721 | 16 | PCP | IL2RG: IVS3+1G>C | SCIDX1 |
P3 | 2 | 860 | 35 | 13 | 21 | 750 | 9 | Pneumonia, FTT | IL2RG: R258Q | SCIDX1 |
P4 | 10 | 2500 | 1600 | 1000 | 475 | 475 | 225 | PCP | IL2RG: R222C | SCIDX1 |
P5 | 2* | 323 | 45 | 6 | 39 | 26 | 13 | Disseminated candidiasis | Unknown | ADA-SCID‡ |
P6 | 2 | 1090 | 3 | 0 | 0 | 676 | 391 | Positive family history | CD3δ: R68X/R68X | CD3δ-SCID |
P7 | 3 | 900 | 0 | 9 | 1 | 2 | 280 | Positive family history | RAG2: g.4953delT/4953delT | T-B- SCID |
P8 | 3* | 8600 | 3698 | 946 | 1462 | NA | 3956 | ED, CD, FTT, myocarditis, IP | RAG2: R229Q/R229Q | OS |
P9 | 6.5 | 4591 | 2670 | 1669 | 125 | 1437 | 924 | ED, FTT, CD, bronchiolitis, lymphadenopathy, hepatosplenomegaly | RMRP: allele 1: ins ACTCTGTGAATACTCT GTGAAGCTGA at −10 allele 2: C4T | OS |
NA indicates not available; IUGR, intrauterine growth retardation; PCP, Pneumocystis pneumonia; FTT, failure to thrive; ED, erythroderma; CD, chronic diarrhea; IP, interstitial pneumonia; RD, reticular dysgenesis; SCID, severe, combined immunodeficiency; ADA, adenosine deaminase; OS, Omenn syndrome; and RMRP, ribonuclease mitochondrial RNA-processing mutation.
Postmortem examination.
Died of disseminated adenovirus infection after T-cell-depleted haploidentical hematopoietic cell transplantation.
Diagnosis of ADA deficiency was established based on lack of ADA activity in red blood cells.