Idiopathic T cell lymphopenia identified in New York State Newborn Screening

Stephanie Albin-Leeds, Juliana Ochoa, Harshna Mehta, Beth H. Vogel, Michele Caggana, Vincent Bonagura, Heather Lehman, Mark Ballow, Arye Rubinstein, Subhadra Siegel, Leonard Weiner, Geoffrey A. Weinberg, Charlotte Cunningham-Rundles

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Quantification of T-cell receptor excision circles (TRECs) for newborn screening for SCID has advanced the diagnosis of severe combined immune deficiency (SCID). However, it has led to the identification of infants with T cell lymphopenia without known cause. The clinical characteristics, appropriate laboratory monitoring, and outcomes of patients remain unclear. We performed a retrospective review of clinical and laboratory studies for 26 infants collected from 7 New York State referral centers from 2010 to 2016 with low TRECs (mean, 70 copies/μl) and subnormal CD3 counts (mean, 1150/cubic mm). Over time absolute CD3 counts increased in 17 and decreased in 9; 22 (85%) have done well clinically regardless of absolute T cell values. Additional infants with TCL will continue to be identified in newborn screening panels. While most patients seem to do well clinically, parameters for diagnosis and monitoring have yet to be formalized, and additional information needs to be collected, causes and outcomes reported.

Original languageEnglish (US)
Pages (from-to)36-40
Number of pages5
JournalClinical Immunology
Volume183
DOIs
StatePublished - Oct 2017

Keywords

  • Idiopathic T-cell lymphopenia
  • Newborn screening
  • Severe combined immunodeficiency
  • TREC level

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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    Albin-Leeds, S., Ochoa, J., Mehta, H., Vogel, B. H., Caggana, M., Bonagura, V., Lehman, H., Ballow, M., Rubinstein, A., Siegel, S., Weiner, L., Weinberg, G. A., & Cunningham-Rundles, C. (2017). Idiopathic T cell lymphopenia identified in New York State Newborn Screening. Clinical Immunology, 183, 36-40. https://doi.org/10.1016/j.clim.2017.07.002