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7. Categories of Immune Disorders
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7.3 Deficiency states/Immunodeficiency Syndromes
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7.3.1 Primary immunodeficiencies
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Primary (T-cell) cell-mediated deficiency
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Ataxia-Telangiectasia Syndrome
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- A slowly progressive multisystem disorder
with the following manifestations: ataxia
appearing with the onset of walking; telangiectases of the conjunctiva and skin of the
face, neck, and ears; athetosis and nystagmus; and recurrent infections of the
respiratory system caused by immunoglobulin deficiencies. Due to an autosomal
recessive trait, with major pathologic changes involving the cerebellar cortex,
posterior columns, spinocerebellar tracks, anterior horn cells, dorsal roots, and
peripheral nerves. A high percentage of the patients have an IgA deficiency
concomitant with decreased T-helper cell function. There are numerous chromosome
breaks and )-fetoprotein levels in the sera are usually
elevated; caused by several
mutations in PI3ckinase gene. Syn: ataxia telangiectasia syndrome, Louis- Bar
syndrome.
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