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Case Report

RETICULAR DYSGENESIS IN A PRETERM INFANT: A Case Report

, MD, , MD, , MD, , MD, , MD, , MD, , MD, , MD & , MD show all
Pages 646-649 | Received 23 Jun 2010, Accepted 13 Jul 2010, Published online: 23 Sep 2010
 

Abstract

Reticular dysgenesis (RD) is a rare congenital immunodeficiency classified within the severe combined immunodeficiencies (SCIDs) and characterized by impairment of both lymphoid and myeloid cell development. Neutropenia unresponsive to recombinant human granulocyte colony-stimulating factor (rGCSF) is the hallmark of RD and the clinical course is rapidly fatal due to overwhelming infections. The authors report a female newborn at 32 weeks of gestation presenting with severe leukopenia at birth. The bone marrow showed a maturation arrest in the myeloid and lymphoid lineage. She had no response to granulocyte colony stimulating factor (rGCSF) treatment and died with sepsis at age of 2 months.

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