Table 1.

Demographic, molecular, and clinical features of pRD patients

Patient #SexAge at the time of the studyGene defectAllele 1; Allele 2InfectionsImmune dysregulationOther complicationsTreatment of immune dysregulationBMT and outcome
P1 37 years RAG1 p.C176F; p.C176F Norovirus, URTI, LRTI, Pseudomonas pneumonia, bronchiectasis, Salmonella gastroenteritis, PJP IBD, hypothyroidism Hepatomegaly with bridging fibrosis and steatosis Steroids Yes, deceased 
P2 16 mo RAG1 p.A444V; p.V869F URTI, LRTI, Aspergillus pneumonia, Stenotrophomonas maltophilia, Citrobacter freundii, adenovirus and norovirus gastroenteritis, Helicobacter pylori VEOIBD, AIHA Exocrine pancreatic insufficiency, cholestatic hepatitis Steroids Yes, A&W after 1 year 
P3 8 years RAG1 p.R112H; p.R112H RTI IBD  Ustekinumab No, alive with IBD 
P4 25 mo RAG1 p.C176F; p.C176F Recurrent bacterial and viral URTI, severe CMV viremia VEOIBD with hematochezia and hematemesis  Tacrolimus Yes, deceased 
P5 11 years RAG1 p.P152L; p.R973C RTI, bronchiectasis IBD, Evans syndrome  Steroids Yes, A&W after 1 year 
P6 32 years RAG2 p.G451A; p.G451A COVID-19, CMV, rubella  Liver fibrosis  No, deceased 
P7 44 years RAG1 p.R474C; p.R474C Genital HPV and HSV, URTI, LRTI, bronchiectasis, Pseudomonas, pneumonia, MAC, Nocardia lung infection Panarteritis nodosa, T1DM, hypothyroidism, pernicious anemia, arthritis, granulomas Granulosa cell ovarian cancer Etanercept, methotrexate Yes, deceased 
P8 6 years RAG1 p.R112H; p.C328Y Recurrent pneumonia, bronchiectasis, diarrhea AIHA  Steroids Yes, A&W after 5 years 
P9 35 years RAG1 p.W522C; p.R975Q Recurrent HSV, URTI, LRTI, bronchiectasis, onychomycosis Alopecia, vitiligo, arthritis, asthma Ovarian insufficiency Hydroxychloroquine Yes, A&W after 3 years 
P10 12 years RAG1 p.Y562C; p.R841Q URTI, LRTI, bronchiectasis, mastoiditis AIHA, hypothyroidism, splenomegaly  Steroids Yes, deceased 
P11 3 years RAG1 p.K86Vfs*33; p.C328Y EBV viremia   Rituximab Yes, deceased 
P12 23 years RAG1 p.R410W; p.R507Q Warts, EBV viremia, URTI, LRTI Vitiligo, alopecia, granulomas  Etanercept, adalimumab, hydroxychloroquine Yes, A&W after 5 years 
P13 39 years RAG1 p.R108*; p.W522C Warts, orolabial HSV, LRTI, bronchiectasis, MRSA, oral candidiasis Alopecia, hypothyroidism, hypogonadism, granulomas  Steroids, MMF, rituximab Yes, A&W after 6 years 
P14 7 years RAG1 p.G393V; p.G709A URTI, LRTI, perianal abscess Autoimmune hypothyroidism   Yes, A&W after 2 years 
P15 12 years RAG1 p.R404W; p.H747P Herpes labialis, HSV keratitis, LRTI, septic shock, ecthyma gangrenosum AIHA  MMF, rituximab, sirolimus Yes, A&W after 5 years 
P16 18 years RAG1 p.K86Vfs*33; p.H612R Chronic sinusitis, recurrent LRTI, bronchiectasis, COVID-19 AIHA, thyroiditis, vitiligo  Steroids Yes, A&W after 21 mo 

AIHA, autoimmune hemolytic anemia; A&W, alive and well; CMV, cytomegalovirus; EBV, Epstein-Barr virus; HPV, human papillomavirus; HSV, herpes simplex virus; IBD, inflammatory bowel disease; LRTI, lower respiratory tract infections; MAC, Mycobacterium avium complex; MMF, mycophenolate mofetil; MRSA, methicillin-resistant Staphylococcus aureus; PJP, Pneumocystis jirovecii pneumonia; RTI, respiratory tract infections; T1DM, type 1 diabetes mellitus; URTI, upper respiratory tract infections; VEOIBD, very early-onset inflammatory bowel disease.

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