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Table 2 Clinical and laboratory manifestations of immunodeficiency in 19 patients with cartilage-hair hypoplasia

From: Gynecologic assessment of 19 adult females with cartilage-hair hypoplasia – high rate of HPV positivity

Pt

HPV

Clinical manifestations of immunodeficiency

Plasma levels of immunoglobulinsa

Lymphocyte countsb

Lymphocyte proliferationc

SADd

2

+

NA

NA

NA

NA

NA

3

+

None

Normal

Low TLC, CD3+, CD4+, CD8+, CD19+

NA

NA

11

+

OM, Sin

Normal

Low CD19+

Abnormal

NA

12

+

Sin

Normal

Normal

Abnormal

no

13

+

Sin

NA

NA

Normal

NA

15

+

BE, Pn, Sin requiring surgery

Low IgG

Low CD3+, CD4+, CD19+

NA

NA

16

+

BE, Pn, Sin

Normal

Low CD3+, CD4+, CD8+

Abnormal

yes

17

+

None

Normal

Low TLC, CD8+

NA

NA

1

OM, Pn

Normal

Low TLC, CD3+, CD4+, CD8+, CD16/56+

NA

NA

4

OM, severe varicella requiring hospitalization

Normal

Low TLC, CD3+, CD4+, CD8+, CD19+

NA

yes

5

OM, Sin

Normal

Low TLC, CD3+, CD4+, CD8+

Abnormal

NA

6

None

Normal

Low CD3+, CD4+, CD8+, CD19+

Abnormal

NA

8

OM

Normal

Normal

Normal

yes

9

Sin requiring surgery

Normal

Low CD19+

NA

NA

10

OM, Sin requiring surgery

Ig substitution

Low CD3+, CD4+, CD8+, CD19+

Abnormal

yes

14

BE, OM, Sin requiring surgery

Normal

Normal

Abnormal

yes

18

BE, Pn, Sin requiring surgery

Low IgM

Low CD19+

NA

no

19

None

Normal

Normal

NA

NA

7

NA

Boils, OM, autoimmunity

Ig substitution

Low TLC, CD3+, CD4+, CD8+, CD19+

NA

yes

  1. BE bronchiectasis, HPV human papillomavirus cervical carriage, Ig immunoglobulin, NA data not available, OM recurrent otitis media, Pn recurrent pneumonia, Pt patient number, SAD specific antibody deficiency, Sin recurrent rhinosinusitis, TLC total lymphocyte count
  2. aLocal laboratory reference values were applied, measured as described previously in (14)
  3. bLocal laboratory reference values were applied, measured by flow cytometry as described previously in (14)
  4. cData were obtained from hospital records, measurement performed by various methods
  5. dSAD was defined as inadequate antibody response to Pneumovax®: a fourfold rise in antibody titers and post-immunization antibody levels ≥0.35 μg/ml to < 70% of serotypes, measured as described previously in (14)