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Immunodeficiency 19(IMD19)

MedGen UID:
816477
Concept ID:
C3810147
Disease or Syndrome
Synonyms: CD3-DELTA DEFICIENCY; IMD19; SCID, T CELL-NEGATIVE, B CELL-POSITIVE, NK CELL-POSITIVE; SEVERE COMBINED IMMUNODEFICIENCY, T CELL-NEGATIVE, B CELL-POSITIVE, NK CELL-POSITIVE
 
Gene (location): CD3D (11q23.3)
 
Monarch Initiative: MONDO:0014280
OMIM®: 615617

Definition

Immunodeficiency-19 (IMD19) is an autosomal recessive form of severe combined immunodeficiency (SCID) characterized by onset in early infancy of recurrent bacterial, viral, and fungal infections. Patients usually have chronic diarrhea, recurrent respiratory infections, and failure to thrive. Immunologic work-up shows a T cell-negative, B cell-positive, natural killer (NK) cell-positive phenotype. The disorder is lethal in early childhood without bone marrow transplantation (summary by Yu et al., 2011). [from OMIM]

Clinical features

From HPO
Failure to thrive
MedGen UID:
746019
Concept ID:
C2315100
Disease or Syndrome
Failure to thrive (FTT) refers to a child whose physical growth is substantially below the norm.
Chronic diarrhea
MedGen UID:
96036
Concept ID:
C0401151
Finding
The presence of chronic diarrhea, which is usually taken to mean diarrhea that has persisted for over 4 weeks.
Recurrent respiratory infections
MedGen UID:
812812
Concept ID:
C3806482
Finding
An increased susceptibility to respiratory infections as manifested by a history of recurrent respiratory infections.
Severe combined immunodeficiency disease
MedGen UID:
88328
Concept ID:
C0085110
Disease or Syndrome
A type of primary immune deficiency that is characterized by a more severe defect in both the T- and B-lymphocyte systems.
Recurrent otitis media
MedGen UID:
155436
Concept ID:
C0747085
Disease or Syndrome
Increased susceptibility to otitis media, as manifested by recurrent episodes of otitis media.
T lymphocytopenia
MedGen UID:
419385
Concept ID:
C2931322
Finding
An abnormally low count of T cells.
Severe viral infection
MedGen UID:
479058
Concept ID:
C3277428
Finding
An unusually severe viral infection.
Abnormal natural killer cell morphology
MedGen UID:
866748
Concept ID:
C4021098
Anatomical Abnormality
An anomaly of the natural killer cell, which is a lymphocyte that can spontaneously kill a variety of target cells without prior antigenic activation via germline encoded activation receptors. It also regulates immune responses via cytokine release and direct contact with other cells.
Abnormal B cell morphology
MedGen UID:
867383
Concept ID:
C4021748
Finding
A structural abnormality of B cells.

Professional guidelines

PubMed

Zonnour A, Jamshidi A, Dabiri S, Hasibi M, Tajdini A, Karrabi N, Yazdani N
Eur Arch Otorhinolaryngol 2023 Jan;280(1):159-166. Epub 2022 Jun 25 doi: 10.1007/s00405-022-07478-5. PMID: 35751693

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