Clinical analysis of a Chinese child with leukocyte adhesion deficiency type 1

Objective Leukocyte adhesion deficiency type 1 (LAD-Ⅰ) is rare. We present 1 case of LAD-Ⅰ patient diagnosed by gene analysis. His clinical manifestations and genetic mutation features are analyzed in this article. Method The clinical material of the LAD-Ⅰ patient who was diagnosed by gene analysis was retrospectively analyzed. Result The patient was a 2-month-old boy. He had a complaint of recurrent fever and cough for 30 days. Pulmonary CT indicated a small to moderate quantity pleural effusion on the right side. His peripheral blood leukocyte and C-reactive protein(CRP)was always significantly higher than normal. After hospitalization he had diarrheal diseases, routine stool test showed 2 RBC cells/high power (HP), WBC 30 cells/HP, stool cultures were negative, digestive tract ultrasonography showed an array of defects, in the sigmoid colon and rectal mucosa suggestive of ulcerative colitis. He was treated with cefoperazone and sulbactam and vancomycin. He had a history of impetigo in his neonatal period and without delayed umbilical cord exfoliation. His family history was normal. ITGB2 genetic mutation analysis revealed a homozygous mutation (1062A>T). His parents did not participate in this study. He had no fever but had diarrheal disease after 1 month of follow up. Conclusion This patient had suffered from impetigo, pleural effusion, diarrheal diseases, markedly increased peripheral white blood cell and ITGB2 genetic mutation analysis showed that homozygous mutation (1062A>T). He received a diagnosis of LAD-Ⅰ. Key words: Leukocyte adhesion deficiency, type Ⅰ; ITGB2