2016
DOI: 10.1007/s10875-016-0320-3
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X-linked Inhibitor of Apoptosis Complicated by Granulomatous Lymphocytic Interstitial Lung Disease (GLILD) and Granulomatous Hepatitis

Abstract: The X-linked inhibitor of apoptosis (XIAP) deficiency is a primary immunodeficiency characterized by Epstein-Barr virus (EBV)-driven hemophagocytic lymphohistiocytosis (HLH), splenomegaly, and colitis. Here, we present, for the first time, granulomatous hepatitis and granulomatous and lymphocytic interstitial lung disease (GLILD) as manifestations of XIAP deficiency. We report successful treatment of GLILD in XIAP deficiency with rituximab and azathioprine and discuss the role of XIAP deficiency in immune dysr… Show more

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Cited by 27 publications
(27 citation statements)
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“…XLP1 is commonly associated with lymphoma or hypogammaglobulinemia, and has more rare presentations that include aplastic anemia, vasculitis, and gastrointestinal inflammation. XLP2 is associated with a variety of other disease manifestations including atypical/mild HLH-like episodes, inflammatory bowel disease, recurrent infections, hypogammaglobulinemia, uveitis, fistulating skin disease, granulomatous hepatitis, granulomatous, and lymphocytic interstitial lung disease ( 14 , 15 , 49 52 ). CD70 deficiency, CD27 deficiency, ITK deficiency, and MAGT1 all share a strong predisposition to lymphoma.…”
Section: Other Manifestations Of Hlh-associated Diseasesmentioning
confidence: 99%
“…XLP1 is commonly associated with lymphoma or hypogammaglobulinemia, and has more rare presentations that include aplastic anemia, vasculitis, and gastrointestinal inflammation. XLP2 is associated with a variety of other disease manifestations including atypical/mild HLH-like episodes, inflammatory bowel disease, recurrent infections, hypogammaglobulinemia, uveitis, fistulating skin disease, granulomatous hepatitis, granulomatous, and lymphocytic interstitial lung disease ( 14 , 15 , 49 52 ). CD70 deficiency, CD27 deficiency, ITK deficiency, and MAGT1 all share a strong predisposition to lymphoma.…”
Section: Other Manifestations Of Hlh-associated Diseasesmentioning
confidence: 99%
“…While historically identified as a non-infectious complication of CVID, GLILD is now increasingly being reported in other PID, including Kabuki syndrome [3], LRBA mutations [4], X-linked inhibitor of apoptosis [5], CTLA4 mutations [6], Good’s syndrome [ 7], RAG mutations [8 ], hypogammaglobulinemia of unclear etiology in infancy [9], and 22q11.2DS [10•]. Moreover, GLILD may even be the first manifestation of an underlying PID [42•].…”
Section: Resultsmentioning
confidence: 99%
“…XIAP deficiency (OMIM 300635), also called X-linked lymphoproliferative syndrome type 2 (XLP-2), is a rare inherited disease caused by mutations in the XIAP gene, which encodes an important inhibitor of programmed cell death or apoptosis by blocking the activation of caspases 3, 7 and 9 and is related to signal transduction and activation processes, such as the NF-ĸB, MAPK pathway, Table 1 The patient's routine inspections results during hospitalization NLRS, copper metabolism and autophagy [1]. Different patients may develop variable clinical phenotypes, including HLH, colitis or IBD, granulomatous lymphocytic interstitial lung disease (GLILD), granulomatous hepatitis, uveitis and juvenile idiopathic arthritis [2][3][4].…”
Section: Discussionmentioning
confidence: 99%