Published in:
01-02-2014 | Brief Communication
Cartilage-Hair Hypoplasia: Follow-Up of Immunodeficiency in Two Patients
Published in: Journal of Clinical Immunology | Issue 2/2014
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Purpose
To study the changes in the immunological status in 2 children with cartilage hair hypoplasia (CHH).
Methods
A 4–6 year immunological follow-up from infancy.
Results
In infancy the children presented a combined T cell and B cell immunodeficiency which partly resolved in time. Mitogen-induced T cell proliferation values fluctuated but lymphopenia has remained constant. Both patients had no recent thymic emigrants (TREC). Both children have suffered from a prolonged viral infection. Hypogammaglobulinemia normalized during the first years of life but both children have a specific antibody deficiency (SAD).
Conclusions
The changes in the immunological status in CHH patients emphasize the importance of a regular follow-up. SAD should be searched for in CHH. The absence of TRECs supports combined immunodeficiency and possible need of hematopoietic stem cell transplantion.