Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis

Ataxia telangiectasia (AT) is a rare disease characterized by the early onset and slow progression of neurodegenerative defects, mainly affecting the cerebellum, associated with immunodeficiency and teleangiectasias. Ataxia is the hallmark of the disease and usually its first manifestation. Overt ce...

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Main Authors: Federica Cavone, Susanna Cappelli, Alice Bonuccelli, Sofia D’Elios, Giorgio Costagliola, Diego Peroni, Alessandro Orsini, Rita Consolini
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/18/6041
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author Federica Cavone
Susanna Cappelli
Alice Bonuccelli
Sofia D’Elios
Giorgio Costagliola
Diego Peroni
Alessandro Orsini
Rita Consolini
author_facet Federica Cavone
Susanna Cappelli
Alice Bonuccelli
Sofia D’Elios
Giorgio Costagliola
Diego Peroni
Alessandro Orsini
Rita Consolini
author_sort Federica Cavone
collection DOAJ
description Ataxia telangiectasia (AT) is a rare disease characterized by the early onset and slow progression of neurodegenerative defects, mainly affecting the cerebellum, associated with immunodeficiency and teleangiectasias. Ataxia is the hallmark of the disease and usually its first manifestation. Overt cerebellar ataxia usually becomes evident between 16 and 18 months of age, after the onset of walking, and is characterized by frequent falls and an ataxic gait with an enlarged base. We report the case of a child who first presented with serious recurrent infectious, without exhibiting neurological symptoms. The patient was initially diagnosed with combined immunodeficiency (CID) of unknown etiology for nearly 3 years, before he was definitively diagnosed with ataxia telangiectasia.
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spelling doaj.art-0ee9124bf18e4ceaa4aefe59b1ff5fbb2023-11-19T11:20:57ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011218604110.3390/jcm12186041Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential DiagnosisFederica Cavone0Susanna Cappelli1Alice Bonuccelli2Sofia D’Elios3Giorgio Costagliola4Diego Peroni5Alessandro Orsini6Rita Consolini7Pediatrics Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalySection of Clinical and Laboratory Immunology, Division of Pediatrics, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalySection of Pediatric Neurology, Division of Pediatrics, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalySection of Clinical and Laboratory Immunology, Division of Pediatrics, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyPediatrics Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyPediatrics Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalySection of Pediatric Neurology, Division of Pediatrics, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalySection of Clinical and Laboratory Immunology, Division of Pediatrics, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyAtaxia telangiectasia (AT) is a rare disease characterized by the early onset and slow progression of neurodegenerative defects, mainly affecting the cerebellum, associated with immunodeficiency and teleangiectasias. Ataxia is the hallmark of the disease and usually its first manifestation. Overt cerebellar ataxia usually becomes evident between 16 and 18 months of age, after the onset of walking, and is characterized by frequent falls and an ataxic gait with an enlarged base. We report the case of a child who first presented with serious recurrent infectious, without exhibiting neurological symptoms. The patient was initially diagnosed with combined immunodeficiency (CID) of unknown etiology for nearly 3 years, before he was definitively diagnosed with ataxia telangiectasia.https://www.mdpi.com/2077-0383/12/18/6041ataxiaimmunodeficiencyinborn errors of immunitymovement disorders
spellingShingle Federica Cavone
Susanna Cappelli
Alice Bonuccelli
Sofia D’Elios
Giorgio Costagliola
Diego Peroni
Alessandro Orsini
Rita Consolini
Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis
Journal of Clinical Medicine
ataxia
immunodeficiency
inborn errors of immunity
movement disorders
title Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis
title_full Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis
title_fullStr Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis
title_full_unstemmed Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis
title_short Ataxia Telangiectasia Arising as Immunodeficiency: The Intriguing Differential Diagnosis
title_sort ataxia telangiectasia arising as immunodeficiency the intriguing differential diagnosis
topic ataxia
immunodeficiency
inborn errors of immunity
movement disorders
url https://www.mdpi.com/2077-0383/12/18/6041
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