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V(D)J recombination and its defects

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Case report of T-B-NK+ SCID<br />

- Girl form consanguineous parents<br />

- In first year of life no problems<br />

- In second year development of infections of respiratory<br />

tracts <strong>and</strong> c<strong>and</strong>idiasis<br />

- Successively, development of chronic diarrhea <strong>and</strong><br />

failure thrive.<br />

- At 18 months suspicion for immunodeficiency due to<br />

hypogammaglobulinemia<br />

- Improvement with immunoglobulin substitution <strong>and</strong><br />

broad-spectrum antibiotics.<br />

- BMT was initiated, but patient died during conditioning<br />

period

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