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Primary immune regulatory disorders for the pediatric hematologist and oncologist: A case‐based review
Authors:Shanmuganathan Chandrakasan  Sharat Chandra  Blachy J. Davila Saldana  Troy R. Torgerson  David Buchbinder
Abstract:
An array of monogenic immune defects marked by autoimmunity, lymphoproliferation, and hyperinflammation rather than infections have been described. Primary immune regulatory disorders pose a challenge to pediatric hematologists and oncologists. This paper focuses on primary immune regulatory disorders including autoimmune lymphoproliferative syndrome (ALPS) and ALPS‐like syndromes, immunodysregulation, polyendocrinopathy, enteropathy, X‐linked (IPEX) and IPEX‐like disorders, common variable immunodeficiency (CVID), CVID‐like, and late‐onset combined immunodeficiency (CID) disorders. Hyperinflammatory disorders and those associated with increased susceptibility to lymphoid malignancies are also discussed. Using a case‐based approach, a review of clinical pearls germane to the clinical and laboratory evaluation as well as the treatment of these disorders is provided.
Keywords:autoimmune lymphoproliferative syndrome  combined immunodeficiency disorders  common variable immunodeficiency  enteropathy  immune dysregulation  polyendocrinopathy  primary immunodeficiency disorder  X‐linked
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