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Fatal CTLA-4 heterozygosity with autoimmunity and recurrent infections: a de novo mutation.


ABSTRACT: Primary immunodeficiency disorders are rarely diagnosed in adults but must be considered in the differential diagnosis of combined recurrent infections and autoimmune disease. We describe a patient with CTLA-4 haploinsufficiency and an abnormal regulatory T-cell phenotype. Unusually, infections were more severe than autoimmunity, illustrating therapeutic challenges in disease course.

SUBMITTER: Moraes-Fontes MF 

PROVIDER: S-EPMC5715409 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Fatal CTLA-4 heterozygosity with autoimmunity and recurrent infections: a de novo mutation.

Moraes-Fontes Maria Francisca MF   Hsu Amy P AP   Caramalho Iris I   Martins Catarina C   Araújo Ana Carolina AC   Lourenço Filipa F   Taulaigo Anna V AV   Lladó Ana A   Holland Steven M SM   Uzel Gulbu G  

Clinical case reports 20171106 12


Primary immunodeficiency disorders are rarely diagnosed in adults but must be considered in the differential diagnosis of combined recurrent infections and autoimmune disease. We describe a patient with CTLA-4 haploinsufficiency and an abnormal regulatory T-cell phenotype. Unusually, infections were more severe than autoimmunity, illustrating therapeutic challenges in disease course. ...[more]

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