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Phagocytes Defects

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Primary Immunodeficiency Diseases

Abstract

There has been an outstanding progress in identification of phagocyte defects, especially neutropenia during last decade. Fifty years after the description by Kostmann, a gene mutation has been identified in patients with the syndrome bearing his name. Long-term follow-up of relatively large patient groups with known gene mutation(s) provided us more insight into the natural course of these diseases. The clinical identification and careful description of individual patients will continue to add to our better understanding of these disease processes. Defects of neutrophil function and/or differentiation, defects of motility, and defects of respiratory burst are the main sub-classification of phagocytes defects. Severe congenital neutropenia, cyclic neutropenia, glycogen storage disease type 1b, p14 deficiency, Barth syndrome, Cohen syndrome, and Clericuzio syndrome poikiloderma with neutropenia are primary immunodeficiency diseases (PIDs) with neutrophil function/differentiation defects, while leukocyte adhesion deficiency (LAD types I-III), Rac2 deficiency, β-actin deficiency, localized juvenile periodontitis, Papillon–Lefèvre syndrome, specific granule deficiency, and Shwachman–Diamond syndrome are classified in group of motility defects. Chronic granulomatous disease (CYBB, CYBA, NCF1, NCF2, NCF4) is the prototype of defects of respiratory burst.

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Wintergerst, U. et al. (2017). Phagocytes Defects. In: Rezaei, N., Aghamohammadi, A., Notarangelo, L. (eds) Primary Immunodeficiency Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52909-6_4

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