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脾脓肿揭示的原发性免疫缺陷——共济失调-毛细血管扩张症

Primary Immunodeficiency-Type Ataxia-Telangiectasia Revealed by Splenic Abscesses.

作者信息

Bebana Addou, Ghanam Ayad, Tkak Hassnae, Elouali Aziza, Babakhouya Abdeladim, Rkain Maria

机构信息

Department of Pediatrics, University Hospital Mohammed VI, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR.

出版信息

Cureus. 2024 Jul 15;16(7):e64595. doi: 10.7759/cureus.64595. eCollection 2024 Jul.

Abstract

Ataxia-telangiectasia (A-T) is a rare inherited autosomal recessive disease. It is associated with an alteration in the gene, located on chromosome 11q22-23, which codes for a protein involved in a complex way in cell cycle regulation and cell protection. It is characterized by cerebellar ataxia, cutaneous and ocular telangiectasia, and an immune deficiency responsible for recurrent infections. Diagnosis is generally delayed due to the late onset of neurological symptoms and telangiectasia. People suffering from this condition are particularly sensitive to ionizing radiation, which considerably increases their risk of developing neoplasia. We report an observation of a primary immunodeficiency-type A-T revealed by recurrent fever and multiple splenic abscesses.

摘要

共济失调毛细血管扩张症(A-T)是一种罕见的常染色体隐性遗传病。它与位于11号染色体q22-23区域的基因改变有关,该基因编码一种以复杂方式参与细胞周期调控和细胞保护的蛋白质。其特征为小脑共济失调、皮肤和眼部毛细血管扩张,以及因反复感染导致的免疫缺陷。由于神经症状和毛细血管扩张出现较晚,诊断通常会延迟。患有这种疾病的人对电离辐射特别敏感,这大大增加了他们患肿瘤的风险。我们报告一例以反复发热和多发性脾脓肿为表现的原发性免疫缺陷型A-T病例。

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