Autoimmune Lymphoproliferative Syndrome with FAS Mutation - CISMeF
Autoimmune Lymphoproliferative Syndrome with FAS MutationNCIt concept
Preferred Label : Autoimmune Lymphoproliferative Syndrome with FAS Mutation;
NCIt synonyms : Type 1a ALPS; Autoimmune Lymphoproliferative Syndrome with Germline or Somatic FAS Mutation; ALPS-FAS; Type 1a Autoimmune Lymphoproliferative Syndrome;
NCIt definition : A rare, primary immunodeficiency with an autosomal dominant pattern of inheritance
but variable penetrance. It is the most common subtype of autoimmune lymphoproliferative
syndrome (ALPS). It is usually caused by a germline mutation in the Fas gene that
leads to defective Fas-induced apoptosis but in a minority of cases, it also may be
attributed to a somatic Fas mutation. Disruption of Fas-induced apoptosis impairs
lymphocyte homeostasis and immune tolerance. Characteristic laboratory findings include
an increase in circulating, double-negative (CD4-/CD8-) T cells in the setting of
immune-mediated anemia, thrombocytopenia and neutropenia. Clinical signs present in
childhood include fatigue, pallor, bruising, hepatosplenomegaly and chronic, non-malignant,
non-infectious lymphadenopathy. The clinical course is influenced by a strong association
with other autoimmune disorders and an increased risk for developing Hodgkin and non-Hodgkin
lymphoma.;