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Immunodeficiency 86(IMD86)

MedGen UID:
1794205
Concept ID:
C5561995
Disease or Syndrome
Synonyms: IMD86; Immunodeficiency 86, mycobacteriosis; Immunodeficiency 86, mycobacteriosis, autosomal recessive
 
Gene (location): SPPL2A (15q21.2)
 
Monarch Initiative: MONDO:0030448
OMIM®: 619549

Definition

Immunodeficiency-86 (IMD86) is an autosomal recessive immunologic disorder characterized by susceptibility to mycobacterial disease after exposure to BCG vaccine. Affected individuals usually develop localized mycobacterial lymphadenopathy that can be successfully treated without subsequent episodes (summary by Kong et al., 2018). [from OMIM]

Clinical features

From HPO
Increased circulating IgM level
MedGen UID:
333454
Concept ID:
C1839972
Finding
An abnormally increased level of immunoglobulin M in blood.
Impaired oxidative burst
MedGen UID:
898272
Concept ID:
C4280805
Laboratory or Test Result
In the NBT test, neutrophils change the colorless compound NBT into a compound with a deep blue color. If this test is negative (i.e., no blue color is produced), then this indicates a defect in superoxide-generating NADPH oxidase activity with inability to efficiently kill phagocytized bacteria.
BCGitis
MedGen UID:
1684722
Concept ID:
C5139070
Disease or Syndrome
Local or regional infection with Bacillus Calmette-Guerin (BCG) following vaccination.
Decreased circulating IgG concentration
MedGen UID:
1720114
Concept ID:
C5234937
Finding
An abnormally decreased level of immunoglobulin G (IgG) in blood.

Professional guidelines

PubMed

Tuddenham S, Hamill MM, Ghanem KG
JAMA 2022 Jan 11;327(2):161-172. doi: 10.1001/jama.2021.23487. PMID: 35015033
Goemaere E, Ford N, Benatar SR
Lancet 2002 Jul 6;360(9326):86-7; author reply 87-8. doi: 10.1016/S0140-6736(02)09343-1. PMID: 12114064
Piot P, Zewdie D, Türmen T
Lancet 2002 Jul 6;360(9326):86; author reply 87-8. doi: 10.1016/S0140-6736(02)09342-X. PMID: 12114063

Recent clinical studies

Etiology

Manby L, Aicken C, Delgrange M, Bailey JV
AIDS Behav 2022 Feb;26(2):457-469. Epub 2021 Aug 24 doi: 10.1007/s10461-021-03402-w. PMID: 34427813Free PMC Article
Poorolajal J, Hooshmand E, Mahjub H, Esmailnasab N, Jenabi E
Public Health 2016 Oct;139:3-12. Epub 2016 Jun 24 doi: 10.1016/j.puhe.2016.05.004. PMID: 27349729
Fang M, Abolhassani H, Lim CK, Zhang J, Hammarström L
J Clin Immunol 2016 May;36 Suppl 1:68-75. Epub 2016 Mar 18 doi: 10.1007/s10875-016-0260-y. PMID: 26993986
Shapiro RS
Am J Hematol 2011 Jan;86(1):48-55. doi: 10.1002/ajh.21903. PMID: 21120868
Tonnesen H, Kehlet H
Br J Surg 1999 Jul;86(7):869-74. doi: 10.1046/j.1365-2168.1999.01181.x. PMID: 10417555

Diagnosis

Stephens JH, Gray RT, Guy R, Vickers T, Ward J
AIDS Care 2023 Jan;35(1):83-90. Epub 2021 Nov 16 doi: 10.1080/09540121.2021.2001416. PMID: 34783623
Poorolajal J, Hooshmand E, Mahjub H, Esmailnasab N, Jenabi E
Public Health 2016 Oct;139:3-12. Epub 2016 Jun 24 doi: 10.1016/j.puhe.2016.05.004. PMID: 27349729
Fang M, Abolhassani H, Lim CK, Zhang J, Hammarström L
J Clin Immunol 2016 May;36 Suppl 1:68-75. Epub 2016 Mar 18 doi: 10.1007/s10875-016-0260-y. PMID: 26993986
Sampaio AL, Mameri AC, Vargas TJ, Ramos-e-Silva M, Nunes AP, Carneiro SC
An Bras Dermatol 2011 Nov-Dec;86(6):1061-71; quiz 1072-4. doi: 10.1590/s0365-05962011000600002. PMID: 22281892
Charles MA, Schwarz MI
Postgrad Med 1973 Apr;53(4):86-92. doi: 10.1080/00325481.1973.11713420. PMID: 4632995

Therapy

Craig TJ, Reshef A, Li HH, Jacobs JS, Bernstein JA, Farkas H, Yang WH, Stroes ESG, Ohsawa I, Tachdjian R, Manning ME, Lumry WR, Saguer IM, Aygören-Pürsün E, Ritchie B, Sussman GL, Anderson J, Kawahata K, Suzuki Y, Staubach P, Treudler R, Feuersenger H, Glassman F, Jacobs I, Magerl M
Lancet 2023 Apr 1;401(10382):1079-1090. Epub 2023 Feb 28 doi: 10.1016/S0140-6736(23)00350-1. PMID: 36868261
Pleguezuelo DE, Sánchez-Ramón S
Med Clin (Barc) 2017 Jan 20;148(2):86-90. Epub 2016 Dec 2 doi: 10.1016/j.medcli.2016.09.037. PMID: 27919413
Poorolajal J, Hooshmand E, Mahjub H, Esmailnasab N, Jenabi E
Public Health 2016 Oct;139:3-12. Epub 2016 Jun 24 doi: 10.1016/j.puhe.2016.05.004. PMID: 27349729
Tabbara IA
South Med J 1993 Mar;86(3):350-5. doi: 10.1097/00007611-199303000-00020. PMID: 7680827
Charles MA, Schwarz MI
Postgrad Med 1973 Apr;53(4):86-92. doi: 10.1080/00325481.1973.11713420. PMID: 4632995

Prognosis

Clemente T, Pontillo D, Malagnino V, Calza L, Di Biagio A, Cenderello G, Lolatto R, Manzillo E, Moioli MC, De Socio GV, Castagna A, Spagnuolo V; PRESTIGIO Study Group
AIDS 2024 Oct 1;38(12):1801-1806. Epub 2024 Aug 29 doi: 10.1097/QAD.0000000000003952. PMID: 39206886
Bekolo CE, Ndeso SA, Moifo LL, Mangala N, Yimdjo TD, Ateudjieu J, Kouanfack C, Djam A, Tabah EN, Whegang S, Mapa-Tassou C, Tendongfor N, Nsagha DS, Choukem SP
Pan Afr Med J 2023;45:191. Epub 2023 Aug 31 doi: 10.11604/pamj.2023.45.191.40448. PMID: 38020352Free PMC Article
Ku HC, Wu YL, Yip HT, Hsieh CY, Li CY, Ou HT, Chen YC, Ko NY
BMC Infect Dis 2023 Sep 28;23(1):636. doi: 10.1186/s12879-023-08628-8. PMID: 37770849Free PMC Article
Gurski K, Hoffman K
J Math Biol 2023 Apr 13;86(5):74. doi: 10.1007/s00285-023-01885-w. PMID: 37052718Free PMC Article
Poorolajal J, Hooshmand E, Mahjub H, Esmailnasab N, Jenabi E
Public Health 2016 Oct;139:3-12. Epub 2016 Jun 24 doi: 10.1016/j.puhe.2016.05.004. PMID: 27349729

Clinical prediction guides

Soares C, Kwok M, Boucher KA, Haji M, Echouffo-Tcheugui JB, Longenecker CT, Bloomfield GS, Ross D, Jutkowtiz E, Sullivan JL, Rudolph JL, Wu WC, Erqou S
JAMA Cardiol 2023 Feb 1;8(2):139-149. doi: 10.1001/jamacardio.2022.4873. PMID: 36576812Free PMC Article
Alohan DI, Evans G, Sanchez T, Harrington KRV, Quamina A, Young HN, Crawford ND
J Am Pharm Assoc (2003) 2023 Mar-Apr;63(2):547-554. Epub 2022 Nov 13 doi: 10.1016/j.japh.2022.11.004. PMID: 36470733Free PMC Article
Hamid NC, Malek KA, Mat-Nasir N, Mohamad M, Nasir NM
Int J Environ Res Public Health 2022 Sep 26;19(19) doi: 10.3390/ijerph191912179. PMID: 36231478Free PMC Article
Sawada I, Tanuma J, Do CD, Doan TT, Luu QP, Nguyen LA, Vu TV, Nguyen TQ, Tsuchiya N, Shiino T, Yoshida LM, Pham TT, Ariyoshi K, Oka S
PLoS One 2015;10(4):e0125299. Epub 2015 Apr 21 doi: 10.1371/journal.pone.0125299. PMID: 25898138Free PMC Article
Johnson WD, Hedges LV, Ramirez G, Semaan S, Norman LR, Sogolow E, Sweat MD, Diaz RM
J Acquir Immune Defic Syndr 2002 Jul 1;30 Suppl 1:S118-29. PMID: 12107365

Recent systematic reviews

Wu S, Wang J, Guo Q, Lan H, Sun Y, Ren M, Liu Y, Wang P, Wang L, Su R, Zhang J, Chen Y, Li G
Clin Microbiol Infect 2023 Aug;29(8):1000-1007. Epub 2023 Mar 13 doi: 10.1016/j.cmi.2023.03.002. PMID: 36921717
Soares C, Kwok M, Boucher KA, Haji M, Echouffo-Tcheugui JB, Longenecker CT, Bloomfield GS, Ross D, Jutkowtiz E, Sullivan JL, Rudolph JL, Wu WC, Erqou S
JAMA Cardiol 2023 Feb 1;8(2):139-149. doi: 10.1001/jamacardio.2022.4873. PMID: 36576812Free PMC Article
Sultana ZZ, Hoque FU, Beyene J, Akhlak-Ul-Islam M, Khan MHR, Ahmed S, Hawlader DH, Hossain A
BMC Infect Dis 2021 Jan 11;21(1):51. doi: 10.1186/s12879-020-05749-2. PMID: 33430786Free PMC Article
Del Corpo O, Butler-Laporte G, Sheppard DC, Cheng MP, McDonald EG, Lee TC
Clin Microbiol Infect 2020 Sep;26(9):1137-1143. Epub 2020 May 30 doi: 10.1016/j.cmi.2020.05.024. PMID: 32479781
Müller M, Wandel S, Colebunders R, Attia S, Furrer H, Egger M; IeDEA Southern and Central Africa
Lancet Infect Dis 2010 Apr;10(4):251-61. doi: 10.1016/S1473-3099(10)70026-8. PMID: 20334848Free PMC Article

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