T-Cell Deficiencies
B-Cell Deficiencies
Neutrophil Disorders
Complement Deficiencies
Clinical Presentations
Diagnostic Clues
200

This primary immunodeficiency results in the absence of a thymus leading to profound T-cell deficiency and severe recurrent infections.

What is DiGeorge Syndrome (complete)?

200

The presence of normal B-cell counts but inability to switch immunoglobulin classes is characteristic of this disorder.

What is Common Variable Immunodeficiency (CVID)?

200

This condition is caused by a defect in NADPH oxidase, leading to recurrent infections with catalase-positive organisms.

What is Chronic Granulomatous Disease (CGD)?

200

C5-C9 deficiency (Membrane Attack Complex deficiency) results in increased susceptibility to these bacteria.

What are Neisseria meningitidis and N. gonorrhoeae?

200

A newborn with persistent oral thrush, chronic diarrhea, and opportunistic infections within the first few months of life likely has this condition.

What is Severe Combined Immunodeficiency (SCID)?

200

TREC (T-cell receptor excision circles) is often used to universally screen for SCID as part of this test.

What is the newborn metabolic screen?

400

This disorder is associated with an increased risk of lymphoma, thrombocytopenia, eczema, and recurrent infections.

What is Wiskott-Aldrich Syndrome?

400

This immunodeficiency presents with recurrent bacterial infections but usually resolves by age 3-6 years.

What is Transient Hypogammaglobulinemia of Infancy?

400

Patients with this disorder present with severe infections, neutrophilia, and the absence of pus.

What is Leukocyte Adhesion Deficiency (LAD)?

400

A deficiency in this complement regulatory protein leads to hereditary angioedema.

What is C1 esterase inhibitor?

400

Hyper-IgE Syndrome (Job Syndrome) presents with recurrent skin abscesses with "cold" inflammation due to this organism.

What is Staphylococcus aureus?

400

An oxidative burst assay is used for diagnosis of this primary immunodeficiency.

What is the Chronic Granulomatous Disease?

600

Patients with this disorder have a combined B and T cell deficiency but have normal or increased numbers of B-cells.

What is Hyper-IgM Syndrome?

600

This disorder results in absent lymphoid tissue and absent B-cells due to a defect in the BTK gene.

What is X-linked (Bruton's) Agammaglobulinemia?

600

This rare disorder presents with recurrent pyogenic infections and giant granules in neutrophils.

What is Chediak-Higashi Syndrome?

600

The complement proteins that are often low in SLE.

What are C3 and C4?

600

A male infant with recurrent sinopulmonary infections, absent lymph nodes, and absent tonsils is likely to have this disorder.

What is Bruton's (X-linked) Agammaglobulinemia?

600

Quantitative immunoglobulin testing is often used as a fundamental step in evaluating this type of primary immunodeficiency.

What are B-cell deficiencies?

800

The primary genetic defect in SCID, in its most common form, results in an absence of this enzyme.

What is Adenosine Deaminase (ADA)?

800

Patients with this immunodeficiency are at increased risk for Giardia infections due to impaired mucosal immunity.

What is IgA Deficiency?

800

An autosomal recessive disorder that is the 2nd most common cause of exocrine pancreatic insufficiency after cystic fibrosis.

What is Shwachman-Diamond Syndrome?

800

CH50 is a screening test for disorders of this complement pathway.

What is the classical pathway?

800
The pattern of inheritance of Wiskott-Aldrich Syndrome, which presents with a triad of thrombocytopenia, recurrent infections, and eczema.

What is X-linked? (Occurs mostly in males)

800

Lymphocyte proliferation assays are useful in the evaluation of this type of primary immunodeficiency.

What are T-cell deficiencies?

1000

This disorder leads to progressive loss of coordination and visible broken blood vessels, and affected individuals often have an elevated AFP level.

What is Ataxia-Telangiectasia?

1000

This B-cell disorder results in the failure of isotype switching due to a defective CD40 ligand.

What is Hyper-IgM Syndrome?

1000

This condition causes recurrent aphthous ulcers and infections in a periodic manner.

What is Cyclic Neutropenia?

1000

Deficiencies in early complement components (C1-C4) predispose to this type of infection due to their role in opsonization.

What are pyogenic bacterial infections?

1000

An autosomal dominant condition resulting in episodic swelling without hives.

What is Hereditary Angioedema?

1000

A genetic test used to diagnose DiGeorge Syndrome.

What is FISH or chromosomal microarray?

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