CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.

Cases of CD 19 deficiency from South East Asia has rarely been reported. A, 1l yr Malay boy was referred with recurrent infections with 2 episodes of'chickenpox at age 2 years. He had repeated episodes of pneumoniae and bronchiectasis by age 6 years. Physical examination revealed gross clu...

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Main Authors: Nohl, L.M., Rus Anidah, R.A., Thiyagara, N., Abd Hamid, Intan Juliana, Hashim, I., Latif, A.H.
Format: Article
Language:English
Published: Springer Verlag 2012
Subjects:
Online Access:http://eprints.usm.my/37398/1/CD19Deficient.pdf
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author Nohl, L.M.
Rus Anidah, R.A.
Thiyagara, N.
Abd Hamid, Intan Juliana
Hashim, I.
Latif, A.H.
author_facet Nohl, L.M.
Rus Anidah, R.A.
Thiyagara, N.
Abd Hamid, Intan Juliana
Hashim, I.
Latif, A.H.
author_sort Nohl, L.M.
collection USM
description Cases of CD 19 deficiency from South East Asia has rarely been reported. A, 1l yr Malay boy was referred with recurrent infections with 2 episodes of'chickenpox at age 2 years. He had repeated episodes of pneumoniae and bronchiectasis by age 6 years. Physical examination revealed gross clubbing with crepitations at both lung bases. IV lg administration was instituted with clinical improvementlaboratory data: Serum Ig (g/l )IgG 8.37[n 4.95- 16.56 ], IgA 0.92[n 0.30-2.35 7, lgM 0.21 [0.32-1.4}]Lymphocyte subset (age 1l) CD19 Q o , CD20 11.26% (12-22)CD3 83.64% (n 66-76) ,CD4 36.25 ( 33-41),CD8 41.55 (27- 35), CDl6+56 I1.6 %. (9-16),Specific antibody response to polysaccharide antigen was impaired ; whileNBT , lymphocyte proliferation to (PHA ) were normal, Btk protein 18% (control 87.8 %). Our finding conforms with a diagnosis of CD19 deficiency with selective IgM deficiency and partial defective Btk protein expression.
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spelling usm.eprints-373982017-11-14T09:08:58Z http://eprints.usm.my/37398/ CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report. Nohl, L.M. Rus Anidah, R.A. Thiyagara, N. Abd Hamid, Intan Juliana Hashim, I. Latif, A.H. RC31-1245 Internal medicine Cases of CD 19 deficiency from South East Asia has rarely been reported. A, 1l yr Malay boy was referred with recurrent infections with 2 episodes of'chickenpox at age 2 years. He had repeated episodes of pneumoniae and bronchiectasis by age 6 years. Physical examination revealed gross clubbing with crepitations at both lung bases. IV lg administration was instituted with clinical improvementlaboratory data: Serum Ig (g/l )IgG 8.37[n 4.95- 16.56 ], IgA 0.92[n 0.30-2.35 7, lgM 0.21 [0.32-1.4}]Lymphocyte subset (age 1l) CD19 Q o , CD20 11.26% (12-22)CD3 83.64% (n 66-76) ,CD4 36.25 ( 33-41),CD8 41.55 (27- 35), CDl6+56 I1.6 %. (9-16),Specific antibody response to polysaccharide antigen was impaired ; whileNBT , lymphocyte proliferation to (PHA ) were normal, Btk protein 18% (control 87.8 %). Our finding conforms with a diagnosis of CD19 deficiency with selective IgM deficiency and partial defective Btk protein expression. Springer Verlag 2012 Article PeerReviewed application/pdf en cc_by http://eprints.usm.my/37398/1/CD19Deficient.pdf Nohl, L.M. and Rus Anidah, R.A. and Thiyagara, N. and Abd Hamid, Intan Juliana and Hashim, I. and Latif, A.H. (2012) CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report. Journal of Clinical Immunology, 32 (1 Sup.). p. 289. ISSN 0271-9142
spellingShingle RC31-1245 Internal medicine
Nohl, L.M.
Rus Anidah, R.A.
Thiyagara, N.
Abd Hamid, Intan Juliana
Hashim, I.
Latif, A.H.
CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.
title CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.
title_full CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.
title_fullStr CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.
title_full_unstemmed CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.
title_short CD19 Deficient B Cell Abnormality and Selective IgM Deficiency in a Malay Child. A Case Report.
title_sort cd19 deficient b cell abnormality and selective igm deficiency in a malay child a case report
topic RC31-1245 Internal medicine
url http://eprints.usm.my/37398/1/CD19Deficient.pdf
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