A case report of autoinflammation and PLCy2-associated antibody deficiency and immune dysregulation

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Abstract

This paper presents a case of rare primary immunodeficiency belonging to the group of monogenic autoinflammatory diseases with PLCy2-associated antibody deficiency and immune dysregulation (APLAID). Here we describe our experience in the management of a 7-year-old child with this syndrome and discuss key information about the pathogenesis and clinical manifestations of APLAID based on the analysis of the known cases. Due to the rarity and novelty of the disease, there is a lack of established criteria for the identification and diagnosis of APLAID and no established standard of care. We report our experience of treating APLAID with a tumor necrosis factor-a inhibitor and our analysis of the effectiveness of treatment and adverse events. The patient's parents gave consent to the use of their child's data, including photographs, for research purposes and in publications.

About the authors

M. E. Leontyeva

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-0799-1025

Moscow

Russian Federation

D. V. Bogdanova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-2897-5208

Moscow

Russian Federation

A. A. Moiseeva

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-6134-3811

Moscow

Russian Federation

V. I. Burlakov

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-1267-9957

Moscow

Russian Federation

Z. A. Nesterenko

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-4427-054X

Moscow

Russian Federation

A. Yu. Merkushov

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0001-9517-5046

Moscow

Russian Federation

N. Yu. Kan

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-3564-6496

Moscow

Russian Federation

A. L. Khoreva

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-7684-9188

Moscow

Russian Federation

Yu. A. Rodina

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0001-9857-4456

Moscow

Russian Federation

O. A. Shvets

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0001-5347-7150

Moscow

Russian Federation

E. A. Deordieva

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-8208-2075

Moscow

Russian Federation

N. B. Kuzmenko

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-1669-8621

Moscow

Russian Federation

A. A. Mukhina

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-3305-1694

Moscow

Russian Federation

I. V. Mersiyanova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-0471-2956

Moscow

Russian Federation

E. V. Raikina

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-7634-2053

Moscow

Russian Federation

A. L. Kozlova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: annamax-99@mail.ru
ORCID iD: 0000-0002-2869-6535

Anna L. Kozlova, Cand. Med. Sci., a senior researcher at the Department of Treatment Optimization for Immunodeficiencies

117997, Moscow, Samory Mashela St., 1

Russian Federation

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Copyright (c) 2022 Leontyeva M.E., Bogdanova D.V., Moiseeva A.A., Burlakov V.I., Nesterenko Z.A., Merkushov A.Y., Kan N.Y., Khoreva A.L., Rodina Y.A., Shvets O.A., Deordieva E.A., Kuzmenko N.B., Mukhina A.A., Mersiyanova I.V., Raikina E.V., Kozlova A.L.

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