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Primary Immunodeficiency

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9 Table 1. Characteristic Clinical Presentations of Some Immunodeficiency Disorders Diagnosis Symptoms and/or clinical presentation Combined Immunodeficiencies SCID Failure to thrive, diarrhea, severe/disseminated infections, opportunistic infections, rash; abnormal newborn screen a CD40L deficiency Recurrent serious pyogenic infections, opportunistic infections (PCP) Immunodeficiency syndromes WAS rombocytopenia with bleeding and bruising, eczema, recurrent infection with encapsulated organisms, autoimmunity AT Chronic sinopulmonary disease, cerebellar ataxia, oculocutaneous telangiectasia, malignancy DGS Hypocalcemic seizures caused by hypoparathyroidism, cardiac disease, abnormal facies, infection, abnormal newborn screen a Antibody deficiency Recurrent sinopulmonary infections with encapsulated bacteria, recurrent viral respiratory tract and gastrointestinal infections Immune dysregulation Autoimmunity, lymphoproliferation, HLH Phagocytic cell defects CGD Deep-seated infection, abscess with granuloma formation LAD Recurrent serious bacterial infections, delayed separation of the umbilical cord; poor wound healing, lack of pus HIES type 1 Chronic dermatitis, recurrent serious infection of the lungs with pneumatoceles; skin infections, bone fragility, failure to shed primary teeth MSMD Severe mycobacterial and Salmonella species infections

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