The hyperimmunoglobulin E syndrome - clinical manifestation diversity in primary immune deficiencyReport as inadecuate




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Orphanet Journal of Rare Diseases

, 6:76

First Online: 15 November 2011Received: 06 June 2011Accepted: 15 November 2011DOI: 10.1186-1750-1172-6-76

Cite this article as: Szczawinska-Poplonyk, A., Kycler, Z., Pietrucha, B. et al. Orphanet J Rare Dis 2011 6: 76. doi:10.1186-1750-1172-6-76

Abstract

The hyper-IgE syndromes are rare, complex primary immunodeficiencies characterized by clinical manifestation diversity, by particular susceptibility to staphylococcal and mycotic infections as well as by a heterogeneous genetic origin. Two distinct entities - the classical hyper-IgE syndrome which is inherited in an autosomal dominant pattern and the autosomal recessive hyper-IgE syndrome have been recognized. The autosomal dominant hyper-IgE syndrome is associated with a cluster of facial, dental, skeletal, and connective tissue abnormalities which are not observable in the recessive type. In the majority of affected patients with autosomal dominant hyper-IgE syndrome a mutation in the signal transducer and the activator of the transcription 3 gene has been identified, leading to an impaired Th17 cells differentiation and to a downregulation of an antimicrobial response. A mutation in the dedicator of the cytokinesis 8 gene has been identified as the cause of many cases with autosomal recessive hyper-IgE syndrome and, in one patient, a mutation in tyrosine kinase 2 gene has been demonstrated. In this paper, the authors provide a review of the clinical manifestations in the hyper-IgE syndromes with particular emphasis on the diversity of their phenotypic expression and present current diagnostic guidelines for these diseases.

Electronic supplementary materialThe online version of this article doi:10.1186-1750-1172-6-76 contains supplementary material, which is available to authorized users.

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Author: Aleksandra Szczawinska-Poplonyk - Zdzislawa Kycler - Barbara Pietrucha - Edyta Heropolitanska-Pliszka - Anna Breborowicz - Ka

Source: https://link.springer.com/



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