Uveitis in DiGeorge syndrome: a case of autoimmune ocular inflammation in a patient with deletion 22q11.2

被引:7
作者
Gottlieb, Chloe [1 ]
Li, Zhuqing [1 ]
Uzel, Gulbu [2 ]
Nussenblatt, Robert B. [1 ]
Sen, H. Nida [1 ]
机构
[1] NEI, NIH, Immunol Lab, Bethesda, MD 20892 USA
[2] NIAID, NIH, Bethesda, MD 20892 USA
关键词
DiGeorge syndrome; Uveitis; Deletion; 22q11.2; Velocardiofacial syndrome; Sarcoidosis; JUVENILE RHEUMATOID-ARTHRITIS; CELLS;
D O I
10.3109/13816810903426249
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Methods: We describe a case of a 25-year-old male with bilateral granulomatous panuveitis who after initial investigation and treatment for an infectious cause was determined to have autoimmune-related uveitis with evidence on clinical, laboratory and imaging assessments suggestive of ocular sarcoidosis. Results: The patient was found to have a normal T cell count and T cell proliferative response that was compared to a control patient, and phenotypes determined by flow cytometry were normal. However, the CD4/CD8 ratio in this patient was slightly lower than normal and the number of CD28 negative T cells, in both CD4 and CD8 populations, were significantly higher than a control. Conclusions: The significance of these T cell abnormalities is unknown in the context of this patient's uveitis but is suggestive of a role in autoimmunity, which is a known phenomenon in del22q11.2 syndrome, although autoimmune-related uveitis is not a previously described feature.
引用
收藏
页码:24 / 29
页数:6
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