DiGeorge sequence with hypogammaglobulinemia: a case report

J Microbiol Immunol Infect. 2002 Sep;35(3):187-90.

Abstract

The most common immunodeficiency in DiGeorge sequence patients is defects in T-cell production due to insufficient thymic tissue. However, because T-lymphocytes are important in regulating antibody responses, DiGeorge sequence is no longer regarded as a pure deficiency of cellular immunity but also a form of variable-combined immunodeficiency. Here we presented a 4-month-old male infant with characteristic facial dysmorphism, thymus dysplasia, tetralogy of Fallot, and documented deletion of chromosome 22q11.2 who had decrease B-lymphocyte numbers and hypogammaglobulinemia. The mitogen responses of T-lymphocytes function were normal with adequate number of CD4+ lymphocytes. This case report highlights the importance of evaluating not only the cellular but also the humoral immune function in patients with DiGeorge sequence.

Publication types

  • Case Reports

MeSH terms

  • Agammaglobulinemia / diagnosis*
  • Agammaglobulinemia / immunology
  • Antibody Formation / immunology
  • CD4 Lymphocyte Count
  • CD8-Positive T-Lymphocytes / immunology
  • Chromosomes, Human, Pair 22 / genetics
  • DiGeorge Syndrome / diagnosis*
  • DiGeorge Syndrome / genetics
  • DiGeorge Syndrome / immunology*
  • Face / abnormalities
  • Fatal Outcome
  • Hemagglutinins / analysis
  • Hemagglutinins / classification
  • Humans
  • Immunity, Cellular / immunology
  • Immunoglobulins / analysis
  • Immunoglobulins / classification
  • In Situ Hybridization, Fluorescence
  • Infant
  • Lymphocyte Subsets / classification
  • Male

Substances

  • Hemagglutinins
  • Immunoglobulins

Associated data

  • OMIM/188400