KROK 1 2017 – Question 196 · KROK (Medicine) · Microbiology, Virology, and Immunology

A 13-year-old boy presents with eczematous rashes on his shins and torso. Anamnesis states cases of otitis, pneumonia, and furuncles in the patient. Blood test: platelets - 70 · 10⁹ /l, low activity of T helper and T suppressor cells, low IgM, with normal IgA and IgG. What immunodeficient disease does this boy have?

  1. A. Chediak-Higashi syndrome
  2. B. Louis-Bar syndrome (Ataxia-telangiectasia)
  3. C. Wiskott-Aldrich syndrome
  4. D. DiGeorge syndrome
  5. E. Severe combined immunodeficiency (Swiss type)
Hint

Combine the skin findings, the platelet count and the pattern of immunoglobulin classes to decide which primary immunodeficiency fits.

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