D81.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All Patients with biallelic mutations in a gene where complete loss of function always leads to a SCID phenotype (that is RAG1/2, Artemis, IL-2R-alpha, IL7-R-gamma, DNA Ligase IV, JAK3, ADA) are eligible for this study. 2. T-cells (CD3+) > 100/µl. This threshhold is arbitrarily chosen as indicative of residual function of the affected gene product.
Exclusion criteria
Exclusion criteria: 1. Patients with mutations in the following "SCID" genes due to the presence of T cells in a significant proportion of patients with null mutations: Fox N1 (WHN), CD45, CD3 (delta, epsilon, gamma, theta), Cernunnous, Coronin A1, Orai-1, ZAP-70, MHC II, RMRP, PNP and del22q.11. Patients with mutations in AK2 are also excluded. 2. Maternal T-cells (this must be investigated for a patient to be included) 3. Clinical presentation of "classical" SCID: a.) Opportunistic infections (e.g. PCP-related pneumonia, invasive fungal infections, mycobacterial infections) in the first year of life b.) Severe infections (major-infections) combined with failure to thrive, respectively persistent (> 4 weeks)/ invasive Candida infection in the first year of life 4. Clinical presentation of Omenn syndrome: (e.g. erythematous rash, lymphoproliferation, severe/opportunistic infections, failure to thrive in the first year of life)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| prevalence of each clinical and immunological feature in the full cohort of patients with atypical SCID | — |
Secondary
| Measure | Time frame |
|---|---|
| percentage of patients with normal numbers of T-, B- and NK- or naïve T cells, nomal levels of immunoglobulins or specific antibodies in order to further emphasize the observation that these results do not exclude the diagnosis of SCID || Time to BMT, survival time | — |
Countries
Germany, United Kingdom
Contacts
Universitätsklinikum FreiburgCentrum für Chronische Immundefizienz (CCI)