Description

Ettinger et al reviewed skin conditions associated with primary immunodeficiencies.

The authors are from University Medical Center Regensburg and University Hospital of Cologne.

 


Patient selection: primary immunodeficiency with hyper- or hypopigmentation

 

Types of changes in skin pigmentation:

(1) patchy hypopigmentation

(2) hypopigmented skin

(3) cafe au lait macules with adjacent hypopigmented areas (twin spotting)

(4) cafe au lait spots

(5) oculocutaneous albinism

(6) partial albinism

(7) reticular pigmentation (peri-oral, neck, chest)

 

Type

Syndrome

Genes Mutated

patchy hypopigmented

APECED

AIRE

 

Chediak-Higashi

LYST

 

Common variable immunodeficiency

CD19, CD81, CR3, ICOS, IL21, LRBA, MS4A1, NFKB2, TNFRSF13B/C

 

DiGeorge syndrome

TB1

hypopigmented skin

XLA =X-linked agammaglobulinemia

BTK

cafe au lait with hypopigmented skin

Bloom syndrome

BLM

 

CHARGE syndrome

CHD7

cafe au lait spots

PMS2 defect

PMS2

oculocutaneous albinism

Hermansky-Pudlak syndrome

AP3B1

 

LIG4 syndrome

LIG4

 

Nijmegen breakage syndrome

NBS1

partial albinism

P14/LAMTOR2 deficiency

ROBLD3, LAMTOR2

reticular pigmentation

dyskeratosis congenita

ACD, CTC1, DKC1, NHP2, RTEL1, NOP10, PARN, TCAB1, TERC/T, TINF2

 

Fanconi syndrome

FANCA-G, FANCI/L/M, BRIP1, PALB2, RAD51C, SLX4, ERCC4

 

Griscelli syndrome type 2

RAB27A

 


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