Adenosine Deaminase Type II Deficiency: Severe Chronic Neutropenia, Lymphoid Infiltration in Bone Marrow, and Inflammatory Features

Immunol Invest. 2022 Apr;51(3):558-566. doi: 10.1080/08820139.2020.1853153. Epub 2020 Dec 2.

Abstract

Deficiency of adenosine deaminase type 2 (DADA2) is an autoinflammatory disease characterized with immunologic, hematologic, and neurological features. Here, we presented two patients with severe persistent chronic neutropenia, which required differential diagnosis of congenital and autoimmune neutropenia, myelodysplastic syndrome (MDS), and primary immunodeficiency diseases, including autoimmune lymphoproliferative disease. The therapy of the disease except hematopoietic stem cell transplantation is a challenging experience.

Keywords: Deficiency of adenosine deaminase 2; autoinflammatory disease; chronic neutropenia.

MeSH terms

  • Adenosine Deaminase
  • Bone Marrow
  • Humans
  • Intercellular Signaling Peptides and Proteins
  • Neutropenia* / diagnosis
  • Severe Combined Immunodeficiency* / diagnosis

Substances

  • Intercellular Signaling Peptides and Proteins
  • Adenosine Deaminase