Abstract
Severe congenital neutropenia (SCN) is a rare, heterogeneous, primary immunodeficiency
disorder characterized by early onset of severe bacterial infections. We here describe
a case of SCN associating neutropenia and neurodevelopmental delay. The girl was well
until the age of 9 months, when she suffered from an episode of convulsion. Subsequently,
she developed several episodes of superficial abscesses, oral ulcers and otitis media.
Further work-up revealed severe congenital neutropenia caused by a homozygous mutation
(R86X) in the antiapoptotic molecule HAX1. She also suffered from psychomotor retardation and recurrent seizures. This case
illustrates that HAX1 deficiency may be associated with a neurological phenotype.
Key words
convulsion - developmental delay - HAX1 - mutation - neurological disorder - severe
congenital neutropenia
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Correspondence
N. RezaeiMD
Immunology
Asthma and Allergy Research Institute
Children Medical Center
No. 62
Dr. Gharib St.
Keshavarz Blvd.
P.O. Box: 14185-863
Tehran 14194
Iran
Telefon: +98/21/6693 58 55
Fax: +98/21/6642 89 95
eMail: rezaei_nima@hbi.ir
eMail: nima_rezaei@farabi.tums.ac.ir