TACI mutation with invasive polyclonal CD8+ T-cell lymphoproliferation in a patient with common variable immunodeficiency - 17/08/11

Sydney, Australia
Abstract |
Mutations of the gene encoding the TNF receptor family member transmembrane activator and calcium-modulator and cyclophilin ligand interactor (TACI), TNFSRF13B, have recently been described in patients with common variable immunodeficiency (CVID). We report the case of a man with CVID in association with a heterozygous TACI gene mutation (C104R) who had a highly unusual, invasive, polyclonal CD8+ T-cell lymphoproliferation resulting in massive hepatosplenomegaly and causing renal impairment because of infiltration. Although lymphoproliferation is well described in CVID, the key features in this patient included the T-cell origin of the lymphoproliferation, its polyclonal nature, its infiltration into multiple organs, and the presence of the TACI gene mutation.
Le texte complet de cet article est disponible en PDF.Key words : Transmembrane activator and calcium-modulator and cyclophilin ligand interactor, common variable immunodeficiency, CD8, lymphoproliferation
Abbreviations used : APRIL, BAFF, BAFF-R, CT, CVID, ICOS, IgAD, IVIG, RR, TACI, TCR
Plan
| Disclosure of potential conflict of interest: The authors have declared they have no conflict of interest. |
Vol 117 - N° 4
P. 870-877 - avril 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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