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Granulomatous skin lesions, severe scrotal and lower limb edema due to mycobacterial infections in a child with complete IFN-γ receptor-1 deficiency.

Identifieur interne : 001E33 ( PubMed/Curation ); précédent : 001E32; suivant : 001E34

Granulomatous skin lesions, severe scrotal and lower limb edema due to mycobacterial infections in a child with complete IFN-γ receptor-1 deficiency.

Auteurs : Neslihan Edeer Karaca [Turquie] ; Stephanie Boisson-Dupuis ; Güzide Aksu ; Jacinta Bustamante ; Gulsen Kandiloglu ; Nazan Ozsan ; Mine Hekimgil ; Jean-Laurent Casanova ; Necil Kutukculer

Source :

RBID : pubmed:23194362

Descripteurs français

English descriptors

Abstract

Interferon-γ receptor-1 (IFNγR1) deficiency is caused by mutations in the IFNγR1 gene and is characterized mainly by susceptibility to mycobacterial disease. Herein, we report an 8-month-old boy with complete recessive IFNγR1 deficiency, afflicted by recurrent mycobacterial diseases with Mycobacterium bovis, Mycobacterium tuberculosis, Mycobacterium avium intracellulare and Mycobacterium fortuitum. Genetic analysis showed a homozygous mutation (106insT) in the IFNγR1 gene leading to complete IFNγR1 deficiency. In addition, he had atypical mycobacterial skin lesions caused by M. avium intracellulare and developed scrotal and lower limb lymphedema secondary to compression of large and fixed inguinal lymphadenopathies. Hematopoietic stem cell transplantation was performed from a matched unrelated donor at 5 years of age; however, he died at 9 months post-transplant. To our knowledge, the patient is the first case with IL-12/IFN-γ pathway defect and severe lymphedema. We have also reviewed and summarized the literature related with IFNγR1 deficiency.

DOI: 10.2217/imt.12.111
PubMed: 23194362

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pubmed:23194362

Le document en format XML

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<term>Granuloma (genetics)</term>
<term>Granuloma (immunology)</term>
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<term>Pedigree</term>
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<term>Délétion de séquence</term>
<term>Granulome</term>
<term>Hypergammaglobulinémie</term>
<term>Infection due à Mycobacterium avium-intracellulare</term>
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<term>Hypergammaglobulinémie</term>
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<term>Mycobacterium</term>
<term>Tuberculose cutanée</term>
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<term>Granuloma</term>
<term>Hypergammaglobulinemia</term>
<term>Lymphedema</term>
<term>Mycobacterium</term>
<term>Mycobacterium avium-intracellulare Infection</term>
<term>Tuberculosis, Cutaneous</term>
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<front>
<div type="abstract" xml:lang="en">Interferon-γ receptor-1 (IFNγR1) deficiency is caused by mutations in the IFNγR1 gene and is characterized mainly by susceptibility to mycobacterial disease. Herein, we report an 8-month-old boy with complete recessive IFNγR1 deficiency, afflicted by recurrent mycobacterial diseases with Mycobacterium bovis, Mycobacterium tuberculosis, Mycobacterium avium intracellulare and Mycobacterium fortuitum. Genetic analysis showed a homozygous mutation (106insT) in the IFNγR1 gene leading to complete IFNγR1 deficiency. In addition, he had atypical mycobacterial skin lesions caused by M. avium intracellulare and developed scrotal and lower limb lymphedema secondary to compression of large and fixed inguinal lymphadenopathies. Hematopoietic stem cell transplantation was performed from a matched unrelated donor at 5 years of age; however, he died at 9 months post-transplant. To our knowledge, the patient is the first case with IL-12/IFN-γ pathway defect and severe lymphedema. We have also reviewed and summarized the literature related with IFNγR1 deficiency.</div>
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   |texte=   Granulomatous skin lesions, severe scrotal and lower limb edema due to mycobacterial infections in a child with complete IFN-γ receptor-1 deficiency.
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