Table 4.

Clinical Features of Five Selected Patients Compared With Classic XHIM

Classic Phenotype (n = 40)Mild Phenotype (family no.)
T254M (7)T254M (8) R11X (11) nt309 + 2t → a (18)nt367G → A (19)
Age (yr) at onset  Mean 1.1 (range, 0.17-5)3-150 14  5   8  17  5  
PCP 43%  −  −  −  −  − 
Neutropenia  68%  −  Intermittent  +3-151 −  −  
Cryptosporidium 10%  − −  −  −  −  
Red blood cell aplasia due to B19 infection   0%  +  −  +  +  −  
Age (yr) when Ig therapy started  Mean 1.5 (range, 0.5-12)  14 Never  123-152 18  5  
Response to Ig therapy  Good in 42%3-153 Good  NA  Good  Good  Good  
Immunostaining type  ≥3, 16/20 (80%)3-155  2  2   1   1 
Classic Phenotype (n = 40)Mild Phenotype (family no.)
T254M (7)T254M (8) R11X (11) nt309 + 2t → a (18)nt367G → A (19)
Age (yr) at onset  Mean 1.1 (range, 0.17-5)3-150 14  5   8  17  5  
PCP 43%  −  −  −  −  − 
Neutropenia  68%  −  Intermittent  +3-151 −  −  
Cryptosporidium 10%  − −  −  −  −  
Red blood cell aplasia due to B19 infection   0%  +  −  +  +  −  
Age (yr) when Ig therapy started  Mean 1.5 (range, 0.5-12)  14 Never  123-152 18  5  
Response to Ig therapy  Good in 42%3-153 Good  NA  Good  Good  Good  
Immunostaining type  ≥3, 16/20 (80%)3-155  2  2   1   1 

Abbreviations: NA, not applicable; Ig, immunoglobulin.

F3-150

Four patients were excluded (n = 36, see Table 3).

F3-151

Only during parvovirus B19 infection.

F3-152

IVIg is administered sporadically every 6 to 18 months to treat B19-induced anemia.

F3-153

Two patients were excluded (n = 38, see Table 3).

F3-155

16 of 20 unique genotypes showed an immunostaining type of 3-5; 4 unique genotypes had a type 1 or 2.

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