Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review

This study presents a detailed clinical case of a 10-year-old boy with a history of prolonged cough, fever, and delayed diagnosis of bronchiectasis. Review of the case revealed that the child has had recurrent bronchitis, otitis media, skin allergies, and viral warts since early childhood, indicatin...

Full description

Saved in:
Bibliographic Details
Main Authors: Fang Cao, Yingyu Shi, Fang Deng, Yu Yan
Format: Article
Language:English
Published: Termedia Publishing House 2024-09-01
Series:Central European Journal of Immunology
Subjects:
Online Access:https://www.termedia.pl/Novel-IL2RG-gene-mutation-causing-primary-combined-immunodeficiency-disease-A-case-report-and-literature-review,10,54632,1,1.html
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832584770647752704
author Fang Cao
Yingyu Shi
Fang Deng
Yu Yan
author_facet Fang Cao
Yingyu Shi
Fang Deng
Yu Yan
author_sort Fang Cao
collection DOAJ
description This study presents a detailed clinical case of a 10-year-old boy with a history of prolonged cough, fever, and delayed diagnosis of bronchiectasis. Review of the case revealed that the child has had recurrent bronchitis, otitis media, skin allergies, and viral warts since early childhood, indicating persistent immune system abnormalities. Imaging studies, including pulmonary and sinus CT scans, show significant bronchiectasis accompanied by infections and sinusitis. Immunological assessment revealed abnormalities in immunoglobulin levels and T-cell distribution, suggesting a potential immune deficiency. Whole exome sequencing did not identify any genetic variants highly associated with and definitively pathogenic for bronchiectasis but detected a compound heterozygous missense mutation c.420A>T (p.R140S) in the IL2RG gene, linked to primary combined immunodeficiency (CID), a clinical phenotype rarely reported in China due to this gene mutation. This case report not only enhances our understanding of CID but also provides a new addition to the genetic landscape of CID both domestically and internationally, aiding in earlier diagnosis and treatment of such diseases in clinical practice. During the 18-month follow-up period, the child was unable to participate in physical activities, and experienced recurrent rhinitis, sinusitis, and warts. The child’s current weight and height are 30 kg and 140 cm, respectively.
format Article
id doaj-art-1587696df2294a31b9771565aa49e521
institution Kabale University
issn 1426-3912
1644-4124
language English
publishDate 2024-09-01
publisher Termedia Publishing House
record_format Article
series Central European Journal of Immunology
spelling doaj-art-1587696df2294a31b9771565aa49e5212025-01-27T11:13:18ZengTermedia Publishing HouseCentral European Journal of Immunology1426-39121644-41242024-09-0149330030710.5114/ceji.2024.14234054632Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature reviewFang CaoYingyu ShiFang DengYu YanThis study presents a detailed clinical case of a 10-year-old boy with a history of prolonged cough, fever, and delayed diagnosis of bronchiectasis. Review of the case revealed that the child has had recurrent bronchitis, otitis media, skin allergies, and viral warts since early childhood, indicating persistent immune system abnormalities. Imaging studies, including pulmonary and sinus CT scans, show significant bronchiectasis accompanied by infections and sinusitis. Immunological assessment revealed abnormalities in immunoglobulin levels and T-cell distribution, suggesting a potential immune deficiency. Whole exome sequencing did not identify any genetic variants highly associated with and definitively pathogenic for bronchiectasis but detected a compound heterozygous missense mutation c.420A>T (p.R140S) in the IL2RG gene, linked to primary combined immunodeficiency (CID), a clinical phenotype rarely reported in China due to this gene mutation. This case report not only enhances our understanding of CID but also provides a new addition to the genetic landscape of CID both domestically and internationally, aiding in earlier diagnosis and treatment of such diseases in clinical practice. During the 18-month follow-up period, the child was unable to participate in physical activities, and experienced recurrent rhinitis, sinusitis, and warts. The child’s current weight and height are 30 kg and 140 cm, respectively.https://www.termedia.pl/Novel-IL2RG-gene-mutation-causing-primary-combined-immunodeficiency-disease-A-case-report-and-literature-review,10,54632,1,1.htmlprimary severe combined immunodeficiency bronchiectasis il2rg gene mutation immunodeficiency pediatric respiratory diseases
spellingShingle Fang Cao
Yingyu Shi
Fang Deng
Yu Yan
Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review
Central European Journal of Immunology
primary severe combined immunodeficiency
bronchiectasis
il2rg gene mutation
immunodeficiency
pediatric respiratory diseases
title Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review
title_full Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review
title_fullStr Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review
title_full_unstemmed Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review
title_short Novel IL2RG gene mutation causing primary combined immunodeficiency disease: A case report and literature review
title_sort novel il2rg gene mutation causing primary combined immunodeficiency disease a case report and literature review
topic primary severe combined immunodeficiency
bronchiectasis
il2rg gene mutation
immunodeficiency
pediatric respiratory diseases
url https://www.termedia.pl/Novel-IL2RG-gene-mutation-causing-primary-combined-immunodeficiency-disease-A-case-report-and-literature-review,10,54632,1,1.html
work_keys_str_mv AT fangcao novelil2rggenemutationcausingprimarycombinedimmunodeficiencydiseaseacasereportandliteraturereview
AT yingyushi novelil2rggenemutationcausingprimarycombinedimmunodeficiencydiseaseacasereportandliteraturereview
AT fangdeng novelil2rggenemutationcausingprimarycombinedimmunodeficiencydiseaseacasereportandliteraturereview
AT yuyan novelil2rggenemutationcausingprimarycombinedimmunodeficiencydiseaseacasereportandliteraturereview