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Inborn Errors of Immunity

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25 Table 7C. Examples of IEIs Associated With Increased Cancer Risk IEI Type of cancer and risk DNA repair defects Ataxia-telangiectasia (AT): leukemia (70–500-fold) and lymphoma (200–750-fold) Bloom syndrome: Intestinal cancer, leukemia, and lymphoma (150–300–fold) Common variable immunodeficiency Mucosa-associated lymphoid tissue lymphoma Non-Hodgkin lymphoma (30–400-fold) Gastric cancer (10-fold) Defects in GATA2, CXCR4, STK4 HPV-, EBV-associated cancers Chronic myeloid leukemia Acute myeloid leukemia Myelodysplastic syndrome Melanoma (GATA2) Epidermodysplasia verruciformis Nonmelanoma skin cancers Wiskott-Aldrich Syndrome Lymphoma Combined immune deficiencies: IL-10R deficiency; AD-HIES B-cell lymphoma FHLH (PRF1) Lymphoma NK cell deficiency EBV and hematologic malignancies X-Linked hyper IgM syndrome Pancreatic and liver cancers Table 7B. Examples of IEI Associated With Autoimmune Cytopenias IEI Associated gene Prevalence of autoimmune cytopenias DiGeorge Syndrome del22q11 4%–8% prevalence ITP > AIHA Single lineage cytopenias > multilineage cytopenias RAS-associated autoimmune leukoproliferative disorder (RALD) KRAS, NRAS (somatic mutations) 94% prevalence Multilineage cytopenias > single lineage cytopenias (cont'd)

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