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J Clin Pathol 54:191-195 doi:10.1136/jcp.54.3.191

Diagnosis of severe combined immunodeficiency

Table 1

Classification of severe combined immunodeficiency

Syndrome T cells B cells NK cells Inheritance
The hallmark of severe combined immunodeficiency is an absence of mature T cells. Further delineation is marked by the presence or absence of B and natural killer cells, inheritance pattern, and the genetic molecular defect, where known.
ADA, adenosine deaminase; BCR, B cell receptor; CγC, interleukin 2 receptor common γ chain; GvDH, graft versus host disease; IL7Rα, the α chain of the interleukin 7 receptor; JAK3, Janus associated kinase 3; MFE, maternofetal lymphoid engraftment; MHC, major histocompatibility complex; NK, natural killer; RAG, recombination activating genes; TCR, T cell receptor.
Reticular dysgenesis AR
ADA deficiency AR
RAG 1, 2 deficiency + AR
TCR + BCR recombination gene deficiency + AR
CγC deficiency + XL
JAK3 deficiency + AR
IL7Rα deficiency + + AR
Omenn's syndrome + + AR
ZAP-70 kinase deficiency CD4+ + + AR
CD4+ lymphopenia CD8+ + + AR
MHC II deficiency CD8+ + + AR
p56lck deficiency CD8+ + + AR
Non-host T cells (MFE or transfusion GvHD) + +/− +/−

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