Necrotizing Ulcer After BCG Vaccination in a Girl With Leukocyte-adhesion Deficiency Type 1

作者:Kurosawa Hidemitsu*; Mizukami Tomoyuki; Nunoi Hiroyuki; Kato Masaya; Sato Yuya; Okuya Mayuko; Fukushima Keitaro; Katsuyama Yoshihiko; Arisaka Osamu
来源:Journal of Pediatric Hematology/Oncology, 2018, 40(1): 63-66.

摘要

Leukocyte-adhesion deficiency-1 is a recessively inherited disorder associated with recurrent bacterial infections, severe periodontitis, peripheral leukocytosis, and impaired wound healing. We diagnosed moderate-type leukocyte-adhesion deficiency-1 in a 7-year-old girl who developed a necrotizing ulcer after Bacillus Calmette-Guerin vaccination. The patient showed moderate expression of CD18 in neutrophils with a homozygous splice mutation with c.41_c.58 + 2dup20 of ITGB2 and experienced recurrent severe infections complicated with systemic lupus erythematosus. She received hematopoietic stem cell transplantation from a matched elder brother with heterozygous mutation of ITGB2, and has since remained free of infection and systemic lupus erythematosus symptoms without immunosuppression therapy.

  • 出版日期2018-1