Deficiency of the Seventh Component of Complement in a Taiwanese Boy

Inherited complement deficiencies are rare, particularly those associated with late components of the complement cascade. We report a 5-year-4-month-old Taiwanese boy with systemic meningococcal infection who had undetectable CH50 level of < 6 U/mL (normal, 32.6-39.8 U/mL). Levels of C3, C4, C5,...

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Main Authors: Yi-Chi Chiang, Shyh-Dar Shyur, Li-Hsin Huang, Ta-Chzng Wen, Mao-Tsair Lin, Hwai-Chih Yang, Pei-Hsuan Liang
Format: Article
Language:English
Published: Elsevier 2006-01-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664609602072
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author Yi-Chi Chiang
Shyh-Dar Shyur
Li-Hsin Huang
Ta-Chzng Wen
Mao-Tsair Lin
Hwai-Chih Yang
Pei-Hsuan Liang
author_facet Yi-Chi Chiang
Shyh-Dar Shyur
Li-Hsin Huang
Ta-Chzng Wen
Mao-Tsair Lin
Hwai-Chih Yang
Pei-Hsuan Liang
author_sort Yi-Chi Chiang
collection DOAJ
description Inherited complement deficiencies are rare, particularly those associated with late components of the complement cascade. We report a 5-year-4-month-old Taiwanese boy with systemic meningococcal infection who had undetectable CH50 level of < 6 U/mL (normal, 32.6-39.8 U/mL). Levels of C3, C4, C5, C6 and C8 were normal, but C7 was undetectable (<5.8 mg/dL; reference, 55-85 mg/dL). The patient's sister was also C7-deficient (CH50 < 6 U/mL, C7 < 5.8 mg/dL). His father's CH50 was 25.9 U/mL and C7 was 27.8 mg/dL. His mother's CH50 was 31.2 U/mL and C7 was 22.7 mg/dL. His parents thus both had a partial complement deficiency, indicating an autosomal codominant inheritance pattern. Awareness of the possibility of late complement deficiency is important as they comprise a small percentage of patients who present with disseminated meningococcal disease or other serious infections caused by encapsulated organisms.
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spelling doaj.art-adaa98cfda6144bea708903e218059282022-12-21T18:09:55ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-01105977077410.1016/S0929-6646(09)60207-2Deficiency of the Seventh Component of Complement in a Taiwanese BoyYi-Chi Chiang0Shyh-Dar Shyur1Li-Hsin Huang2Ta-Chzng Wen3Mao-Tsair Lin4Hwai-Chih Yang5Pei-Hsuan Liang6Department of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanInherited complement deficiencies are rare, particularly those associated with late components of the complement cascade. We report a 5-year-4-month-old Taiwanese boy with systemic meningococcal infection who had undetectable CH50 level of < 6 U/mL (normal, 32.6-39.8 U/mL). Levels of C3, C4, C5, C6 and C8 were normal, but C7 was undetectable (<5.8 mg/dL; reference, 55-85 mg/dL). The patient's sister was also C7-deficient (CH50 < 6 U/mL, C7 < 5.8 mg/dL). His father's CH50 was 25.9 U/mL and C7 was 27.8 mg/dL. His mother's CH50 was 31.2 U/mL and C7 was 22.7 mg/dL. His parents thus both had a partial complement deficiency, indicating an autosomal codominant inheritance pattern. Awareness of the possibility of late complement deficiency is important as they comprise a small percentage of patients who present with disseminated meningococcal disease or other serious infections caused by encapsulated organisms.http://www.sciencedirect.com/science/article/pii/S0929664609602072autosomal codominancecomponent deficiencyNeisseria meningitidis
spellingShingle Yi-Chi Chiang
Shyh-Dar Shyur
Li-Hsin Huang
Ta-Chzng Wen
Mao-Tsair Lin
Hwai-Chih Yang
Pei-Hsuan Liang
Deficiency of the Seventh Component of Complement in a Taiwanese Boy
Journal of the Formosan Medical Association
autosomal codominance
component deficiency
Neisseria meningitidis
title Deficiency of the Seventh Component of Complement in a Taiwanese Boy
title_full Deficiency of the Seventh Component of Complement in a Taiwanese Boy
title_fullStr Deficiency of the Seventh Component of Complement in a Taiwanese Boy
title_full_unstemmed Deficiency of the Seventh Component of Complement in a Taiwanese Boy
title_short Deficiency of the Seventh Component of Complement in a Taiwanese Boy
title_sort deficiency of the seventh component of complement in a taiwanese boy
topic autosomal codominance
component deficiency
Neisseria meningitidis
url http://www.sciencedirect.com/science/article/pii/S0929664609602072
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