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Abnormal delayed hypersensitivity skin test

MedGen UID:
322137
Concept ID:
C1833172
Finding
HPO: HP:0002963

Definition

Delay in cutaneous immune reaction to specific antigens mediated not by antibodies but by cells. The delayed hypersensitivity test is an immune function test measuring the presence of activated T cells that recognize a specific antigen and is performed by injecting a small amount of the antigen into the skin. The area of the injection is examined 48-72 hours thereafter. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAbnormal delayed hypersensitivity skin test

Conditions with this feature

Wiskott-Aldrich syndrome
MedGen UID:
21921
Concept ID:
C0043194
Disease or Syndrome
The WAS-related disorders, which include Wiskott-Aldrich syndrome, X-linked thrombocytopenia (XLT), and X-linked congenital neutropenia (XLN), are a spectrum of disorders of hematopoietic cells, with predominant defects of platelets and lymphocytes caused by pathogenic variants in WAS. WAS-related disorders usually present in infancy. Affected males have thrombocytopenia with intermittent mucosal bleeding, bloody diarrhea, and intermittent or chronic petechiae and purpura; eczema; and recurrent bacterial and viral infections, particularly of the ear. At least 40% of those who survive the early complications develop one or more autoimmune conditions including hemolytic anemia, immune thrombocytopenic purpura, immune-mediated neutropenia, rheumatoid arthritis, vasculitis, and immune-mediated damage to the kidneys and liver. Individuals with a WAS-related disorder, particularly those who have been exposed to Epstein-Barr virus (EBV), are at increased risk of developing lymphomas, which often occur in unusual, extranodal locations including the brain, lung, or gastrointestinal tract. Males with XLT have thrombocytopenia with small platelets; other complications of Wiskott-Aldrich syndrome, including eczema and immune dysfunction, are usually mild or absent. Males with XLN have congenital neutropenia, myeloid dysplasia, and lymphoid cell abnormalities.

Professional guidelines

PubMed

Leonard A, Guttman-Yassky E
Clin Rev Allergy Immunol 2019 Feb;56(1):1-8. doi: 10.1007/s12016-018-8685-0. PMID: 29754191
Sène D
Joint Bone Spine 2018 Oct;85(5):553-559. Epub 2017 Nov 16 doi: 10.1016/j.jbspin.2017.11.002. PMID: 29154979
Cheema AN, Mohammad A, Hong T, Jakubovic HR, Parmar GS, Sharieff W, Garvey MB, Kutryk MJ, Fam NP, Graham JJ, Chisholm RJ
J Am Coll Cardiol 2011 Sep 27;58(14):1445-54. doi: 10.1016/j.jacc.2011.06.040. PMID: 21939827

Recent clinical studies

Etiology

Sène D
Joint Bone Spine 2018 Oct;85(5):553-559. Epub 2017 Nov 16 doi: 10.1016/j.jbspin.2017.11.002. PMID: 29154979
Fred HL, Thangam M
Tex Heart Inst J 2016 Dec;43(6):472-557. Epub 2016 Dec 1 doi: 10.14503/THIJ-16-6085. PMID: 28154499Free PMC Article
Collins P, Ferguson J
Br J Dermatol 1994 Jul;131(1):124-9. doi: 10.1111/j.1365-2133.1994.tb08469.x. PMID: 8043404
Tellado-Rodriguez J, Christou NV
Surg Clin North Am 1988 Feb;68(1):41-55. doi: 10.1016/s0039-6109(16)44431-2. PMID: 3277307
Robinson JC
Surg Gynecol Obstet 1981 Dec;153(6):909-21. PMID: 7029761

Diagnosis

Sène D
Joint Bone Spine 2018 Oct;85(5):553-559. Epub 2017 Nov 16 doi: 10.1016/j.jbspin.2017.11.002. PMID: 29154979
Watts TJ, Haque R
J Allergy Clin Immunol Pract 2018 May-Jun;6(3):1030-1031. Epub 2017 Nov 6 doi: 10.1016/j.jaip.2017.09.019. PMID: 29102410
Nishizawa A
Curr Probl Dermatol 2016;51:80-5. Epub 2016 Aug 30 doi: 10.1159/000446785. PMID: 27584966
Santoro FA, Lim HW
Semin Cutan Med Surg 2011 Dec;30(4):229-38. doi: 10.1016/j.sder.2011.07.007. PMID: 22123421
Anselmino M, Ribezzo M, Orzan F
Acta Cardiol 2009 Feb;64(1):104-6. doi: 10.2143/AC.64.1.2034371. PMID: 19317307

Therapy

Sène D
Joint Bone Spine 2018 Oct;85(5):553-559. Epub 2017 Nov 16 doi: 10.1016/j.jbspin.2017.11.002. PMID: 29154979
Nishizawa A
Curr Probl Dermatol 2016;51:80-5. Epub 2016 Aug 30 doi: 10.1159/000446785. PMID: 27584966
Santoro FA, Lim HW
Semin Cutan Med Surg 2011 Dec;30(4):229-38. doi: 10.1016/j.sder.2011.07.007. PMID: 22123421
Anselmino M, Ribezzo M, Orzan F
Acta Cardiol 2009 Feb;64(1):104-6. doi: 10.2143/AC.64.1.2034371. PMID: 19317307
Honari G, Ellis SG, Wilkoff BL, Aronica MA, Svensson LG, Taylor JS
Contact Dermatitis 2008 Jul;59(1):7-22. Epub 2008 Jun 1 doi: 10.1111/j.1600-0536.2008.01351.x. PMID: 18537993

Prognosis

Sène D
Joint Bone Spine 2018 Oct;85(5):553-559. Epub 2017 Nov 16 doi: 10.1016/j.jbspin.2017.11.002. PMID: 29154979
Fred HL, Thangam M
Tex Heart Inst J 2016 Dec;43(6):472-557. Epub 2016 Dec 1 doi: 10.14503/THIJ-16-6085. PMID: 28154499Free PMC Article
Santoro FA, Lim HW
Semin Cutan Med Surg 2011 Dec;30(4):229-38. doi: 10.1016/j.sder.2011.07.007. PMID: 22123421
Tellado-Rodriguez J, Christou NV
Surg Clin North Am 1988 Feb;68(1):41-55. doi: 10.1016/s0039-6109(16)44431-2. PMID: 3277307
Maisel RH, Ogura JH
Laryngoscope 1973 Dec;83(12):2012-9. doi: 10.1288/00005537-197312000-00012. PMID: 4772104

Clinical prediction guides

Maeno M, Tamagawa-Mineoka R, Arakawa Y, Masuda K, Adachi T, Katoh N
J Dermatol 2021 Jan;48(1):85-87. Epub 2020 Sep 12 doi: 10.1111/1346-8138.15606. PMID: 32920872
Fred HL, Thangam M
Tex Heart Inst J 2016 Dec;43(6):472-557. Epub 2016 Dec 1 doi: 10.14503/THIJ-16-6085. PMID: 28154499Free PMC Article
Hirooka K, Shiraga F, Hasegawa E
Am J Ophthalmol 2002 Dec;134(6):922-4. doi: 10.1016/s0002-9394(02)01703-8. PMID: 12470771
Tellado-Rodriguez J, Christou NV
Surg Clin North Am 1988 Feb;68(1):41-55. doi: 10.1016/s0039-6109(16)44431-2. PMID: 3277307
Biggar WD, Good RA
Birth Defects Orig Artic Ser 1975;11(1):271-6. PMID: 1096983

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