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Severe combined immune deficiency syndrome (SCID, SCIDS, XSCID). SUDHA KOLLA. HISTORY. “Bubbly boy disease” Known and discovered in 1970’s and 80’s David Vetter X – linked syndrome Wore a plastic germ free bubble for 12 years Born without a working immune system Gene mutation
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Severe combined immune deficiency syndrome (SCID, SCIDS, XSCID) SUDHA KOLLA
HISTORY • “Bubbly boy disease” • Known and discovered in 1970’s and 80’s • David Vetter • X – linked syndrome • Wore a plastic germ free bubble for 12 years • Born without a working immune system • Gene mutation • Bubble = protect from outside environment • David Vetter’s brother had same disease • Bone Marrow Transplant = Victor = death • Bone Marrow Transplant was to help Victor gain strength to fight infection • Died in 1984
How It Occurs • Gene mutation • Lymphocytes (type of white cells) Thymus Gland • T-cells kill antigens B-cells (killer of antigens) attack healthy cells (healthy antigens) weak immune system • Genetic = defect in the “X” chromosome
Karyotype/Gene/Chromosome Male Karyotype Chromosome: 23
Symptoms of SCIDS • 1. pneumonia - infection of the lungs. • 2. meningitis - infection of the brain. • 3. sepsis - infection in the bloodstream. • 4. yeast infections in the mouth and diaper area • 5. Diarrhea • 6. infection of the liver • 7. Eight or more ear infections • 8. Infections that do not resolve with antibiotic treatment for two or more months • 9. Failure to gain weight or grow normally • 10. Infections that require intravenous antibiotic treatment • 11. Deep-seated infections, such as pneumonia that affects an entire lung or an abscess in the liver • 12. Persistent thrush in the mouth or throat • 13. A family history of immune deficiency or infant deaths due to infections
Diagnose SCIDS • DNA Family mutation • T & B cells function • Blood tests • Automated Screening
Cure SCIDS • Transplantation of blood-forming stem cells bone marrow • Tissue matching from relative = ¼ • Anonymous donor = very common • HLA = Human Leucocyte Antigen • HLA = bone marrow transplantation type = cheotheraphy = bone marrow rescue
Bibliography (ON THE SEPARATE PAPER)