Case Report

On Two Cases with Autosomal Dominant Hyper IgE Syndrome: Importance of Immunological Parameters for Clinical Course and Follow-Up

Table 3

Immunological phenotype of Patients 1 and 2.

Immune phenotype/marker (units)Patient 1Patient 2Reference range

WBC (cells × 109/L)7.37.04.5 ÷ 13
ANC (cells × 109/L)1.972.01.8 ÷ 8.0
ALC (cells × 109/µL)3.793.81.5 ÷ 6.5
Eos (%)1210.20.0 ÷ 6.0
CD3+ (%Ly)637766 ÷ 76
CD3+DR+ (%Ly)959.5 ÷ 17
CD3+CD4+ (%Ly)364533 ÷ 41
CD45RA+62L+ from CD4+ (%Ly)24.873.646 ÷ 99
CD45RA-62L+ from CD4+ (%Ly)6.419.80.35 ÷ 100
CD45RA-62L− from CD4+ (%Ly)24.84.80.27 ÷ 18
CD45RA+62L− from CD4+ (%Ly)44.01.8<1.8
CD3+CD8+ (%Ly)192127 ÷ 35
CD45RA+62L+ from CD8+ (%Ly)45.568.116 ÷ 100
CD45RA-62L+ from CD8+ (%Ly)5.65.91 ÷ 6
CD45RA-62L- from CD8+ (%Ly)23.612.45 ÷ 100
CD45RA+62L- from CD8+ (%Ly)25.313.615 ÷ 41
CD19+ (%Ly)182012 ÷ 22
CD3-CD16 + 56 (%Ly)1469 ± 16
CD3+CD16 + 56+ (%Ly)1034 ÷ 26
CD25+CD127low (%Ly)8.46.25 ÷ 10
CD4+CD161+CD196+ (%Ly)2.34; 2.01.212.5 ÷ 14.9

IgG (g/l)16.07910.645.40–16.10
IgG1(g/l)10.9028.4824.23–10.6
IgG2 (g/l)2.52.7380.72–4.3
IgG3 (g/l)0.6810.9340.127–1.731
IgG4 (g/l)0.4280.240.016–1.151
IgA (g/l)1,7420.750.50–2.80
IgM (g/l)1.4002.410.5–1.90
IgE (U/ml)2180; 1995; 1104; 1414; 2000431; >2500; 9740; 22400<87
Aspergillus fumigates-specific IgENegativePositiveNegative
C3 (g/l)1,5571.3030.75–1.65
C4 (g/l)0.5100.1180.20–0.65
ANA (U/ml)1 : 1601 : 1601 : 160
ASO (U/ml)1066; 522 U/ml12<200

PCP IgG (mg/L)85.615.4>30
PCP IgG2 (mg/L)32.02.88>11
PCP IgA (mg/L)1.0374.6NA
PCP IgM (mg/L)3.53209.4NA
Hib IgG (mg/L)16.56.43>0.15
DT IgG (mg/L)0.040.025>0.1
TT IgG (mg/L)0.110.35>0.1

Low values; high values; measurement of IgE is in flux with approximately one-year follow-up intervals. WBC: white blood cell count; ANC: absolute neutrophil count; ALC: absolute lymphocyte count; Eos: eosinophils; PCP: pneumococcal capsular polysaccharide; Hib: Haemophilus influenzae type B; DT: diphtheria toxoid; Td: tetanus toxoid; NA: not applicable. The estimation of PCP IgA and IgM values was based on the comparison with the titer of the same antibodies in children tested in our laboratory (data not published).