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Inborn Errors of Immunity

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13 Recommendation 5.7 ➤ We recommend that patients with suspected chronic granulomatous disease (CGD) have measurement of phagocyte oxidase activity and genetic testing for CGD associated gene defects. (S-H) Recommendation 5.8 ➤ We recommend that patients with pulmonary alveolar proteinosis (PAP) be tested for pathogenic variants in the genes encoding the granulocyte-macrophage colony-stimulating factor (GM-CSF) receptor and for autoantibodies to GM-CSF. (S-H) Defects of Innate Immunity Recommendation 5.9 ➤ We recommend that patients with suspected inherited susceptibility to a specific pathogen(s) be investigated for associated gene defects of innate immunity in addition to exclusion of adaptive immune defects and secondary causes of immune defects. (S-M) Defects of the Complement System Recommendation 5.10 ➤ We recommend that patients with recurrent or severe infections by encapsulated bacteria and with normal antibody responses be evaluated for complement deficiency. (S-H) Recommendation 5.11 ➤ We recommend that patients presenting with thrombocytopenia, microangiopathic hemolytic anemia, and acute renal failure be screened for abnormalities of complement regulatory proteins and/or autoantibodies against complement Factor H (CFH). (S-H) Recommendation 5.12 ➤ We recommend genetic testing when complement function screening is abnormal. (S-M)

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