Erdogan Seher, Cakmak Selen Ceren, Gurkan Atay, Akkus Canan Hasbal, Karakayali Burcu, Dogan Ozlem Akgun, Sozeri Betul
Department of Pediatric Critical Care, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkiye.
Department of Pediatrics, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkiye.
North Clin Istanb. 2024 Apr 18;11(2):167-170. doi: 10.14744/nci.2022.89646. eCollection 2024.
Zeta associated protein (ZAP) 70 deficiency is a rare disease. ZAP70 deficiency results in an autosomal recessive form of severe combined immunodeficiency (SCID) that is characterized by a selective absence of CD8 T cells. The diagnosis should be suspected in patients presenting with a severe combined immunodeficiency phenotype and selective deficiency of CD8 T cells. Sequencing of the ZAP70 gene can confirm the diagnosis. We wanted to emphasize that immunodeficiencies should also be remembered in the differential diagnosis by presenting a 5-month-old patient who applied to our clinic with complaints of skin rash and cough, was given respiratory support with mechanical ventilation for a long time, and was diagnosed with ZAP70 deficiency.
ζ相关蛋白(ZAP)70缺陷是一种罕见疾病。ZAP70缺陷导致常染色体隐性形式的严重联合免疫缺陷(SCID),其特征是选择性缺乏CD8 T细胞。对于出现严重联合免疫缺陷表型且选择性缺乏CD8 T细胞的患者,应怀疑有该诊断。ZAP70基因测序可确诊。我们想通过介绍一名5个月大的患者来强调,在鉴别诊断中也应考虑免疫缺陷,该患者因皮疹和咳嗽前来我院就诊,长期接受机械通气的呼吸支持,最终被诊断为ZAP70缺陷。