Abstract
Severe congenital neutropenia (SCN) is a rare, heterogeneous, primary immunodeficiency disorder characterized by early onset of severe bacterial infections. We here describe a case of SCN associating neutropenia and neurodevelopmental delay. The girl was well until the age of 9 months, when she suffered from an episode of convulsion. Subsequently, she developed several episodes of superficial abscesses, oral ulcers and otitis media. Further work-up revealed severe congenital neutropenia caused by a homozygous mutation (R86X) in the antiapoptotic molecule HAX1. She also suffered from psychomotor retardation and recurrent seizures. This case illustrates that HAX1 deficiency may be associated with a neurological phenotype.
MeSH terms
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Adaptor Proteins, Signal Transducing
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Bacterial Infections / diagnosis
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Bacterial Infections / genetics
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Base Pairing / genetics
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Child
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Codon, Nonsense
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DNA Mutational Analysis*
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Developmental Disabilities / diagnosis
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Developmental Disabilities / genetics*
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Electroencephalography
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Epilepsies, Myoclonic / diagnosis
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Epilepsies, Myoclonic / genetics
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Female
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Homozygote*
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Humans
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Immunologic Deficiency Syndromes / diagnosis
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Immunologic Deficiency Syndromes / genetics*
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Neurologic Examination
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Neutropenia / diagnosis
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Neutropenia / genetics*
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Opportunistic Infections / diagnosis
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Opportunistic Infections / genetics
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Pedigree
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Phenotype
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Proteins / genetics*
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Recurrence
Substances
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Adaptor Proteins, Signal Transducing
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Codon, Nonsense
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HAX1 protein, human
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Proteins