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The relationship between nutrition and systemic and oral well-being in older people

Lookup NU author(s): Professor Paula Moynihan

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Abstract

More than 11 genetic causes of severe combined immunodeficiency (SCID) have been identified, affecting development and/or function of T lymphocytes, and sometimes B lymphocytes and natural killer (NK) cells. Deletion of 22q11.2 is associated with immunodeficiency, although less than 1% of cases are associated with T-B + NK + SCID phenotype. Severe immunodeficiency with CHARGE syndrome has been noted only rarely Omenn syndrome is a rare autosomal recessive form of SCID with erythroderma, hepatosplenomegaly, lymphadenopathy and alopecia. Hypomorphic recombination activating genes 1 and 2 mutations were first described in patients with Omenn syndrome. More recently, defects in Artemis, RMRP, IL7Ralpha and common gamma chain genes have been described. We describe four patients with mutations in CHD7, who had clinical features of CHARGE syndrome and who had T-B + NK + SCID (two patients) or clinical features consistent with Omenn syndrome (two patients). Immunodeficiency in patients with DiGeorge syndrome is well recognized--CHARGE syndrome should now be added to the causes of T-B + NK + SCID, and mutations in the CHD7 gene may be associated with Omenn-like syndrome.

Publication metadata

Author(s): Moynihan PJ

Publication type: Article

Publication status: Published

Journal: Journal of the American Dental Association

Year: 2007

Volume: 138

Issue: 4

Pages: 493-497

ISSN (print): 0002-8177

ISSN (electronic): 1943-4723

Publisher: American Dental Association

URL: http://jada.ada.org/cgi/content/abstract/138/4/493

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