Immunodeficiency 1
Immunodeficiency 2
Neurofibromatosis
Tuberous Sclerosis
Miscellaneous
100

Babies with this X-linked recessive disease have recurrent infections with all types of organisms and no palpable lymph nodes. 

What is severe combined immunodeficiency? 

(Most common mutation is IL-2Ry chain)

100

This is an important blood test to order prior to administering IVIG for the first time? 

What is serum IgA levels? 

100

These are part of the triple association with NF1. 

NF1, juvenile xanthogranulomas, and juvenile chronic myelogenous leukemia. 

100

Tuberin and hamartin form a complex that has this function. 

What is inhibition of downstream effectors of mTOR?

100

The protein that activates NF-kB is mutated in Incontinentia Pigmenti and this other syndrome. 

What is hypohidrotic ectodermal dysplasia with immune deficiency?

200

Wiskott-Aldrich syndrome leads to infections with recurrent encapsulated bacterial infections, eczematous dermatitis, and thrombocytopenia. Patients are at increased risk of this type of malignancy.

What are non-hodgkin's lymphoma and hematologic malignancies?

200

A patient presents with recurrent infections with catalase + organisms. This test can help aid in diagnosis. 

Nitroblue tetrazolium test. 

200
These are two pathogenomic skeletal dysplasias found in NF1. 

What are congenital tibial pseudarthroses and sphenoid wing dysplasia?

200

This is the histologic finding of the first cutaneous manifestation in tuberous sclerosis.

What is normal # of melanocytes with decreased pigmentation?

200

Patients with PORCN mutations have this associated bone finding. 

What is osteopathia striata? (streaks of decreased bone density)

300
The biopsy of a lesion on a patient's leg shows a non-infectious granuloma. The patient's mother has a history of breast cancer. The mother asks for the presenting sign of her child's disease. 

What is ataxia?

300

This eye finding is present in 75% of patients with Gardner syndrome, and can be an early sign of the disorder. 

What is congenital hypertrophy of the retinal pigment epithelium? 

300

This is a characteristic finding on pathology of the most common cutaneous lesions in NF2. 

What are verocay bodies?

300

Cardiac rhabdomyomas can lead to this type of arrythmia in patients with tuberous sclerosis. 

What is Wolf-Parkinson-White arrythmia? 

300

This type of mosaicism is caused by fertilization of one egg by two sperm or fusion of two zygotes leading to an individual composed of two cell lines with completely different genotypes. 

What is chimerism?
400

Chediak-Higashi and Griscelli disease can be distinguished by this finding on trichoscopy. 

What is regularly spaced giant melanosomes?

400

This process can lead to clinical signs of graft-versus host disease in neonates with severe combined immunodeficiency.

What is transplacental transfer of maternal T-lymphocytes?

400

Watson syndrome is NF1 and this finding? 

What is pulmonic stenosis? 

400

In women, this pulmonary finding is a late manifestation of tuberous sclerosis.

What is pulmonary lymphangioleiomyomatosis?

400
A mosaic mutation in the gene causing woolly hair and epidermal nevi can be seen in this type of nevus.

What is Spitz nevus? (HRAS mutation)

500

This finding in the lungs can be seen in patients who have extensive warts, atypical mycobacterial infections, and deep fungal infections. 

What is pulmonary alveolar proteinosis?

500

This finding can be seen on polarizing microscopy of patients with a-galactosidase mutations. 

What are "Maltese crosses"? (birefringent lipid globules)

500

This mutation is seen in patients who present with multiple cafe au lait macules, axillary freckling, learning disabilities, but no cutaneous neurofibromas.

What is SPRED 1 in Legius syndrome?

500

This pathognomonic criterion for Cowden's syndrome leads to ataxia, seizures, and increased intracranial pressure. 

What is Lhermitte-Duclos disease? (dysplastic gangliocytoma of cerebellum)

500

Mutations causing Werner syndrome encode this type of protein.

What is DNA helicase? 

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