Scid

From WikiMD's medical encyclopedia

Scid or Severe Combined Immunodeficiency is a genetic disorder that results in an impaired immune system. It is characterized by a severe defect in both the T- and B- lymphocytes. The disorder is caused by mutations in different genes involved in the development and function of immune cells.

Causes

Scid is caused by mutations in several different genes. These mutations affect the development and function of immune cells, leading to a severely compromised immune system. The most common form of Scid is caused by mutations in the IL2RG gene, which provides instructions for making a protein that is essential for the growth and maturation of developing immune cells. Other forms of Scid are caused by mutations in the ADA gene, the RAG1 or RAG2 genes, or the DCLRE1C gene.

Symptoms

The symptoms of Scid are usually apparent in the first few months of life. They can include recurrent infections, failure to thrive, and persistent diarrhea. Because of their severely compromised immune system, individuals with Scid are susceptible to a wide range of infections, including bacterial, viral, and fungal infections.

Diagnosis

Scid is usually diagnosed in infancy based on clinical symptoms and laboratory tests. These tests can include blood tests to measure the number and function of immune cells, genetic testing to identify mutations in the genes associated with Scid, and tests to assess the immune response to vaccines.

Treatment

The primary treatment for Scid is bone marrow transplant, which can provide a source of healthy immune cells. Other treatments can include gene therapy and enzyme replacement therapy.

Prognosis

With early diagnosis and treatment, the prognosis for individuals with Scid can be significantly improved. However, without treatment, Scid is usually fatal in the first year of life.

See also

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Contributors: Prab R. Tumpati, MD