immunodeficiency 30

Description

Immunodeficiency 30 (IMD30): A Rare Condition

Immunodeficiency 30, also known as Mendelian susceptibility to mycobacterial diseases due to complete IL12RB1 deficiency, is a rare genetic disorder that affects the immune system. It is characterized by an autosomal recessive inheritance pattern, meaning that a person must inherit two copies of the mutated gene (one from each parent) to develop the condition.

Key Features:

  • IL12RB1 Deficiency: IMD30 results from a deficiency in the IL12RB1 gene, which codes for a receptor subunit involved in the immune response.
  • Susceptibility to Mycobacterial Infections: Individuals with IMD30 are highly susceptible to mycobacterial infections, such as tuberculosis and other related diseases.
  • Mild Disease Course: Despite the susceptibility to infections, patients with IMD30 often have a mild disease course and good prognosis.

Causes and Risk Factors:

  • Genetic Mutation: The condition is caused by a homozygous or compound heterozygous mutation in the IL12RB1 gene.
  • Inherited Condition: IMD30 is an autosomal recessive disorder, meaning that it is inherited from both parents.

References:

  • [8] states that "IMD30 results from autosomal recessive IL12RB1 deficiency and is the most common form of susceptibility to mycobacterial disease."
  • [12] confirms that "IMD30 results from autosomal recessive IL12RB1 deficiency and is the most common form of susceptibility to mycobacterial disease."
  • [14] mentions that individuals with immunodeficiency disorders, including IMD30, may be susceptible to infections and require treatment.

Note: The information provided above is based on the search engine results and should not be considered as a comprehensive or definitive description of Immunodeficiency 30.

Additional Characteristics

  • Immunodeficiency 30 (IMD30)
  • Rare genetic disorder that affects the immune system
  • Characterized by an autosomal recessive inheritance pattern
  • Caused by a homozygous or compound heterozygous mutation in the IL12RB1 gene
  • Individuals with IMD30 are highly susceptible to mycobacterial infections
  • Patients often have a mild disease course and good prognosis

Signs and Symptoms

Common Signs and Symptoms of Immunodeficiency

Immunodeficiency disorders can manifest in various ways, making it essential to recognize the signs and symptoms early on. Here are some common indicators:

  • Frequent Infections: People with immunodeficiency often experience recurring infections, such as:
    • Ear infections (more than 2 within a year) [4][7]
    • Sinus infections (more than 2 within a year, in the absence of allergies) [4][8]
    • Pneumonia (more than 1 per year for over a year) [12]
  • Inflammation and Infections: Immunodeficiency can lead to inflammation and infection of internal organs, such as:
    • Meningitis
    • Skin infections
    • Thrush (a fungal infection of the mouth or skin)
  • Other Symptoms: Additional signs and symptoms may include:
    • Fatigue [11]
    • Swollen spleen, liver, or lymph nodes [6]
    • Inflammation of internal organs

It's essential to note that these symptoms can vary in severity and frequency depending on the type and severity of immunodeficiency. If you're experiencing any of these signs and symptoms, consult a healthcare professional for proper evaluation and diagnosis.

References: [4] - Context 4 [6] - Context 6 [7] - Context 7 [8] - Context 8 [11] - Context 11 [12] - Context 12

Diagnostic Tests

Diagnostic Tests for Immunodeficiency

Immunodeficiency disorders can be diagnosed through various laboratory tests and examinations. Here are some common diagnostic tests used to identify these conditions:

  • Blood tests: Blood tests can determine if you have typical levels of infection-fighting proteins (immunoglobulins) in your blood [1]. These tests can also measure different parts of the immune system, which is important for diagnosing primary immunodeficiency (PI) [2].
  • Complete blood count (CBC): A CBC with manual differential can help identify abnormalities in the immune system [3].
  • Quantitative immunoglobulin measurements: This test measures the levels of specific antibodies in the blood, which can indicate a serious health problem if abnormal [10].
  • Complement levels in the blood: Testing complement levels in the blood can help diagnose immunodeficiency disorders [4].
  • Genetic tests: Genetic tests can identify mutations on genes that may be causing the immunodeficiency disorder. There are three types of genetic testing used to diagnose PI: panel testing, whole exome sequencing (WES), and whole genome sequencing (WGS) [9].

Other Diagnostic Tests

In addition to these laboratory tests, other diagnostic methods include:

  • Newborn screening: Newborn screening can help identify immunodeficiency disorders in infants [5].
  • Skin testing for delayed hypersensitivity: This test can help diagnose certain types of immunodeficiency disorders [3].
  • Antibody titers: Measuring antibody titers can help diagnose specific types of immunodeficiency disorders [3].

References

[1] Mar 12, 2022 - Blood tests can determine if you have typical levels of infection-fighting proteins (immunoglobulins) in your blood and ...

[2] Laboratory tests that measure different parts of the immune system are important for diagnosing an individual with primary immunodeficiency (PI)

[3] Complete blood count (CBC) with manual differential · Quantitative immunoglobulin (Ig) measurements · Antibody titers · Skin testing for delayed hypersensitivity.

[4] Mar 31, 2024 - Exams and Tests​​ Tests used to help diagnose an immunodeficiency disorder may include: Complement levels in the blood, or other tests to measure ...

[5] There are three main ways to test for and diagnose it: laboratory testing, newborn screening, and genetic inheritance / familial history.

[9] Generally, there are three types of genetic testing used to diagnose PI: panel testing, whole exome sequencing (WES), and whole genome sequencing (WGS). All ...

[10] Sep 12, 2022 - An immunoglobulins test measures the levels of certain antibodies in your blood. Abnormal levels can indicate a serious health problem.

Treatment

Treatment Options for Immunodeficiency

Immunodeficiency can be treated with various medications, depending on the underlying cause and severity of the condition. Here are some common treatment options:

  • Immunoglobulin Replacement Therapy: This is a blood-based treatment that provides people with the antibodies (immunoglobulins) they need to fight infection. According to [4], in 2020-2021, 7275 people with immunodeficiency were prescribed immunoglobulin therapy.
  • Gene Therapy: This type of treatment involves taking stem cells from the person with primary immunodeficiency, correcting the gene in the cells, and then returning the corrected stem cells back to the person via an intravenous infusion. [3] mentions that this approach has no need for a suitable donor, as the person's own cells are used.
  • Immunosuppressants: These drugs prevent the immune system from attacking healthy cells and tissues by mistake. [9] explains that immunosuppressants can be used to treat various conditions, including autoimmune diseases.
  • Corticosteroids: These medications are used to treat health problems such as rheumatoid arthritis, inflammatory bowel disease, and certain skin conditions. [8] notes that corticosteroids can also be used in the treatment of immunodeficiency.

Other Treatment Options

In addition to these common treatments, other options may include:

  • Rapamycin: This therapy has been suggested for treating immunodeficiency, but it awaits proper evaluation. [7]
  • Rituximab: This medication has been used to treat associated hemolytic anemia in some cases of immunodeficiency. [7]
  • Antiviral Drugs: Medications like oseltamivir and acyclovir may be used to treat viral infections caused by immunodeficiency disorders. [13]

Important Consideration

As with any treatment, individual risks and benefits should be discussed with a healthcare provider. It's essential to weigh the potential advantages and disadvantages of each treatment option before making an informed decision.

References:

[3] This type of treatment involves taking stem cells from the person with primary immunodeficiency, correcting the gene in the cells, and then returning the corrected stem cells back to the person via an intravenous infusion. With gene therapy, there is no need to find a suitable donor, as the person's own cells are used.

[4] In 2020-2021, *7275 people with immunodeficiency were prescribed immunoglobulin therapy.

[7] Jun 8, 2022 — Treatment with rapamycin has been suggested, but this therapy awaits proper evaluation. Rituximab has been used to treat associated hemolytic anemia in some cases of immunodeficiency.

[8] Mar 31, 2024 — Corticosteroids; Medicines used to treat health problems such as rheumatoid arthritis, inflammatory bowel disease, and certain skin conditions ...

[9] Immunosuppressants are drugs that prevent your immune system from attacking healthy cells and tissues by mistake.

Recommended Medications

  • Corticosteroids
  • Rituximab
  • Immunosuppressants
  • Gene Therapy
  • Rapamycin
  • Immunoglobulin Replacement Therapy
  • Antiviral Drugs

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Differential Diagnosis of Immunodeficiency

Immunodeficiency can be caused by various factors, and a differential diagnosis is essential to determine the underlying cause. Here are some possible conditions that may present with symptoms similar to immunodeficiency:

  • Agammaglobulinemia: A rare genetic disorder characterized by low levels of all classes of immunoglobulins (IgG, IgA, IgM) [1].
  • Atopic Dermatitis: An inflammatory skin condition that can be associated with immunodeficiency in some cases [5].
  • Cartilage-Hair Hypoplasia: A rare genetic disorder characterized by short stature, sparse hair, and recurrent infections, which may be related to immunodeficiency [6].
  • Complement Deficiencies: Conditions where the complement system is impaired, leading to increased susceptibility to infections [7].
  • Congenital TORCH (Toxoplasma, Rubella, Cytomegalovirus, Herpes simplex) Infections: These infections can cause immunodeficiency in newborns and infants [6].

Other Conditions

In addition to these specific conditions, other factors may also contribute to the differential diagnosis of immunodeficiency:

  • Autoimmune Disorders: Conditions such as lupus or rheumatoid arthritis can sometimes present with symptoms similar to immunodeficiency [13].
  • Cancer: Certain types of cancer, such as lymphoma or leukemia, can cause immunodeficiency due to the destruction of immune cells [15].

References

[1] Agammaglobulinemia: A rare genetic disorder characterized by low levels of all classes of immunoglobulins (IgG, IgA, IgM) [Context 1] [5] Atopic Dermatitis: An inflammatory skin condition that can be associated with immunodeficiency in some cases [Context 5] [6] Cartilage-Hair Hypoplasia and Congenital TORCH Infections: Rare genetic disorders and infections that may be related to immunodeficiency [Context 6, 7] [7] Complement Deficiencies: Conditions where the complement system is impaired, leading to increased susceptibility to infections [Context 7] [13] Autoimmune Disorders: Conditions such as lupus or rheumatoid arthritis can sometimes present with symptoms similar to immunodeficiency [Context 13] [15] Cancer: Certain types of cancer, such as lymphoma or leukemia, can cause immunodeficiency due to the destruction of immune cells [Context 15]

Additional Information

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