Sao Paulo Medical Journal
Print version ISSN 1516-3180
VASQUEZ-DE KARTZOW, Rodrigo et al. Leukocyte adhesion deficiency syndrome: report on the first case in Chile and South America. Sao Paulo Med. J. [online]. 2012, vol.130, n.4, pp. 263-266. ISSN 1516-3180. http://dx.doi.org/10.1590/S1516-31802012000400011.
CONTEXT: Adhesion molecule deficiency type 1 is a rare disease that should be suspected in any patient whose umbilical cord presents delay in falling off, and who presents recurrent severe infections. Early diagnostic suspicion and early treatment improve the prognosis. CASE REPORT: The case of a four-month-old boy with recurrent hospitalizations because of severe bronchopneumonia and several episodes of acute otitis media with non-purulent drainage of mucus and positive bacterial cultures is presented. His medical history included neonatal sepsis and delayed umbilical cord detachment. Laboratory studies showed marked leukocytosis with predominance of neutrophils and decreased CD11b and CD18. These were all compatible with a diagnosis of leukocyte adhesion deficiency type I [LAD type 1].
Keywords : Child; Immunologic deficiency syndromes; Case report [publication type]; Cell adhesion molecules; Leukocyte-adhesion deficiency syndrome.