Résumé
Omenn syndrome is a form of severe combined immunodeficiency associated with erythrodermia, hepatosplenomegaly, lymphadenopathy, and alopecia. Inherited hypomorphic mutations in the recombination activating genes 1 and 2 (RAG1 and RAG2) and in ARTEMIS genes and more recently defects in IL7RA, and RMRP genes have been described to be responsible of this peculiar immunodeficiency. The authors report here a Moroccan patient of four-months-old with classical features of Omenn syndrome, carrying a deletion at the N terminal part of RAG1. Early recognition of this condition is important for genetic counseling and early treatment.
Sujets)
Alopécie/génétique , Protéines de liaison à l'ADN/génétique , Dermatite exfoliatrice/génétique , Femelle , Réarrangement des gènes des lymphocytes T , Hépatomégalie/génétique , Hétérozygote , Protéines à homéodomaine/génétique , Humains , Nourrisson , Maladies lymphatiques/génétique , Maroc , Mutation/génétique , Protéines nucléaires/génétique , Immunodéficience combinée grave/diagnostic , Splénomégalie/génétique , SyndromeRésumé
An eight month old male infant presented with recurrent infections and partial albinism. Initially a possibility of Chediak Higashi syndrome (CHS) was considered, but a negative investigative work up prompted us to look for an alternate diagnosis. A literature search revealed that Griscelli syndrome (GS) has overlapping symptoms and signs. The findings in skin and hair biopsies in Griscelli syndrome are distinctive.