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About:
Multiple Presentations of LRBA Deficiency: a Single-Center Experience
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covidontheweb.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Multiple Presentations of LRBA Deficiency: a Single-Center Experience
Creator
Aytekin, Caner
Dalgic, Buket
Dogu, Figen
Ensari, Arzu
Haskologlu, Sule
Ikinciogullari, Aydan
Islamoglu, Candan
Kansu, Aydan
Kendirli, Tanil
Kostel Bal, Sevgi
Kuloglu, Zarife
Serwas, Nina
Siklar, Zeynep
Yavuz, Gulsan
Kaan Boztug, &
source
Medline; PMC
abstract
INTRODUCTION: LPS-responsive beige-like anchor protein (LRBA) deficiency is a primary immunodeficiency categorized as common variable immunodeficiency associated with autoimmune manifestations and inflammatory bowel diseases; however, the clinical spectrum has been extended. Here, we present our cohort of Turkish LRBA-deficient patients from a single center, demonstrating a diversity of clinical manifestations. METHOD: Seven affected individuals from five families were assessed retrospectively in this study. RESULTS: Of the seven patients with LRBA deficiency, four had homozygous, and two had compound heterozygous mutations. One patient remained disease free until the last follow-up (age 17 years). The most common clinical manifestations of the six symptomatic patients were organomegaly (6/6), autoimmunity (6/6), and chronic diarrhea (5/6). Recurrent infectious episodes were observed in three patients. None of the patients had hypogammaglobulinemia at presentation. B cell subpopulation analysis revealed low numbers of switched-memory B cell numbers in two of the four tested patients. During the disease course, three of the patients died, two of them underwent successful hematopoietic stem cell transplantation (HSCT) from matched sibling donors, and one is under abatacept therapy. CONCLUSION: LRBA defects should always be kept in mind as a differential diagnosis for patients with autoimmune disease affecting multiple organs, chronic diarrhea, and organomegalies. In our experience, early HSCT is a life-saving therapeutic strategy.
has issue date
2017-09-27
(
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)
bibo:doi
10.1007/s10875-017-0446-y
bibo:pmid
28956255
has license
no-cc
sha1sum (hex)
b2074d90f00cb6ec86ff66ecfe5a5d94bc736e14
schema:url
https://doi.org/10.1007/s10875-017-0446-y
resource representing a document's title
Multiple Presentations of LRBA Deficiency: a Single-Center Experience
has PubMed Central identifier
PMC7086713
has PubMed identifier
28956255
schema:publication
J Clin Immunol
resource representing a document's body
covid:b2074d90f00cb6ec86ff66ecfe5a5d94bc736e14#body_text
is
schema:about
of
named entity 'SINGLE'
named entity 'autoimmune disease'
named entity 'manifestations'
named entity 'age'
named entity 'patients'
named entity 'observed'
named entity 'diarrhea'
named entity 'lifesaving'
named entity 'DEFICIENCY'
named entity 'THERAPEUTIC'
named entity 'DONORS'
named entity 'SPECTRUM'
named entity 'ASSOCIATED WITH'
named entity 'LOW'
named entity 'TESTED'
named entity 'STUDY'
named entity 'COMPOUND HETEROZYGOUS'
named entity 'FOLLOW-UP'
named entity 'CHRONIC DIARRHEA'
named entity 'RESULTS'
named entity 'MIND'
named entity 'PRESENT'
named entity 'SYMPTOMATIC'
named entity 'EXTENDED'
named entity 'PRESENTATION'
named entity 'ASSESSED'
named entity 'TURKISH'
named entity 'FAMILIES'
named entity 'HYPOGAMMAGLOBULINEMIA'
named entity 'SIBLING'
named entity 'DISEASE COURSE'
named entity 'COHORT'
named entity 'YEARS'
named entity 'PATIENT'
named entity 'DIFFERENTIAL DIAGNOSIS'
named entity 'NUMBERS'
named entity 'HEMATOPOIETIC STEM CELL TRANSPLANTATION'
named entity 'EPISODES'
named entity 'MANIFESTATIONS'
named entity 'LIFESAVING'
named entity 'CLINICAL MANIFESTATIONS'
named entity 'DEFICIENCY'
named entity 'CLINICAL'
named entity 'HSCT'
named entity 'IS A'
named entity 'SWITCHED'
named entity 'EXPERIENCE'
named entity 'ABATACEPT THERAPY'
named entity 'DIVERSITY'
named entity 'MULTIPLE'
named entity 'EXPERIENCE'
named entity 'EARLY'
covid:arg/b2074d90f00cb6ec86ff66ecfe5a5d94bc736e14
named entity 'MEMORY B CELL'
named entity 'RECURRENT'
named entity 'CENTER'
named entity 'AUTOIMMUNE DISEASE'
named entity 'CATEGORIZED'
named entity 'OBSERVED'
named entity 'CONCLUSION'
named entity 'AFFECTING'
named entity 'METHOD'
named entity 'OUR'
named entity 'AUTOIMMUNITY'
named entity 'PRESENTATIONS'
named entity 'SEVEN'
named entity 'LRBA'
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