{"id":7570,"date":"2020-04-25T00:58:03","date_gmt":"2020-04-25T03:58:03","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/agammaglobulinemia-ligada-al-cromosoma-x\/"},"modified":"2020-04-27T16:07:22","modified_gmt":"2020-04-27T19:07:22","slug":"x-linked-agammaglobulinemia","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/","title":{"rendered":"X-linked agammaglobulinemia"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFQue-son-las-gammaglobulinas\" >What are gamma globulins?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFQue-es-la-agammaglobulinemia-ligada-a-X\" >What is X-linked agammaglobulinemia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFQue-causa-la-agammaglobulinemia-ligada-a-X\" >What causes X-linked agammaglobulinemia?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#Genetica-de-la-agammaglobulinemia-ligada-a-X\" >Genetics of X-linked agammaglobulinemia<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFCuales-son-los-signos-y-sintomas-de-la-agammaglobulinemia-ligada-a-X\" >What are the signs and symptoms of X-linked agammaglobulinemia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFCuales-son-los-factores-de-riesgo-para-la-agammaglobulinemia-ligada-a-x\" >What are the risk factors for ax-linked agammaglobulinemia?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFComo-se-diagnostica-la-agammaglobulinemia-ligada-a-x\" >How is ax-linked agammaglobulinemia diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/agammaglobulinemia-ligada-al-cromosoma-x\/#%C2%BFCual-es-el-tratamiento-para-la-agammaglobulinemia-ligada-a-x\" >What is the treatment for ax-linked agammaglobulinemia?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-son-las-gammaglobulinas\"><\/span>What are gamma globulins?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gamma globulins are also called <span class=\"term\" data-term-id=\"428\">immunoglobulins<\/span>. They are proteins produced by <span class=\"term\" data-term-id=\"1513\">plasma<\/span> cells and are essential for the body&#039;s immune defense system. Agammaglobulinemia means the absence of gamma globulins.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-agammaglobulinemia-ligada-a-X\"><\/span>What is X-linked agammaglobulinemia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>X-linked agammaglobulinemia is hereditary <span class=\"term\" data-term-id=\"558\">genetic<\/span> disorder first described in 1952 by Dr. Ogden Bruton. It is characterized by the inability of the body to produce mature B-<span class=\"term\" data-term-id=\"421\">lymphocytes<\/span> and plasma cells. Affected patients have severe deficiencies in all immunoglobulins.<\/p>\n<p>X-linked agammaglobulinemia is also called Bruton&#039;s agammaglobulinemia.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-agammaglobulinemia-ligada-a-X\"><\/span>What causes X-linked agammaglobulinemia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>X-linked agammaglobulinemia is caused by <span class=\"term\" data-term-id=\"871\">mutations<\/span> at Bruton&#039;s <span class=\"term\" data-term-id=\"624\">Tyrosine kinase<\/span> (BTK) <span class=\"term\" data-term-id=\"774\">gene<\/span>, which was discovered in 1993. The gene normally promotes maturation of B lymphocytes. Since the BTK gene is found in the X-<span class=\"term\" data-term-id=\"1271\">chromosome<\/span>, X-linked agammaglobulinemia occurs exclusively in males. Females may have a <span class=\"term\" data-term-id=\"828\">autosomal<\/span> recessive version of agammaglobulinemia.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Genetica-de-la-agammaglobulinemia-ligada-a-X\"><\/span>Genetics of X-linked agammaglobulinemia<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='x-linked-agammaglobulinemia__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4026062-7842339' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/X-Linked-Agammaglobulinemia__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4026062.png'>\n<\/div>\n<p class=\"p-small\">X-linked agammaglobulinemia<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p style=\"font-size: 10px;\">* Image courtesy of Genetics 4 Medics<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-signos-y-sintomas-de-la-agammaglobulinemia-ligada-a-X\"><\/span>What are the signs and symptoms of X-linked agammaglobulinemia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Patients with X-linked agammaglobulinemia may have:<\/p>\n<ul>\n<li>Reduced <span class=\"term\" data-term-id=\"1266\">lymphoid<\/span> or reticuloendothelial organs, including the amygdala, <span class=\"term\" data-term-id=\"1775\">lymph nodes<\/span>, spleen, adenoids and intestinal Peyer&#039;s patches<\/li>\n<li>\n<span class=\"term\" data-term-id=\"805\">Recurrent<\/span> respiratory infections, including <span class=\"term\" data-term-id=\"1866\">otitis media<\/span>, pneumonia, bronchitis or sinusitis; The most common causes are pneumococcus, strep, and staph.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"319\">Chronic<\/span> gastrointestinal symptoms, for example diarrhea due to giardia infections<\/li>\n<li>Skin infections<\/li>\n<\/ul>\n<p>Babies with X-linked agammaglobulinemia appear healthy at first. They begin to have recurrent infections as protection from the mother. <span class=\"term\" data-term-id=\"426\">antibodies<\/span> undress.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-factores-de-riesgo-para-la-agammaglobulinemia-ligada-a-x\"><\/span>What are the risk factors for ax-linked agammaglobulinemia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Risk factors for X-linked agammaglobulinemia include:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1167\">Sex<\/span>. The disease occurs exclusively in males.<\/li>\n<li>Years. The patient usually begins to have symptoms between 6 and 18 months of age.<\/li>\n<li>Family history.<\/li>\n<li>Race. It seems there is no racial <span class=\"term\" data-term-id=\"1227\">predilection<\/span>.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-agammaglobulinemia-ligada-a-x\"><\/span>How is ax-linked agammaglobulinemia diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>X-linked agammaglobulinemia can be diagnosed by:<\/p>\n<ul>\n<li>Initial evaluation of <span class=\"term\" data-term-id=\"1430\">serum<\/span> immunoglobulins<\/li>\n<li>Measurement of B cells in <span class=\"term\" data-term-id=\"1374\">peripheral<\/span> blood, if the initial test reveals low serum immunoglobulins<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1851\">Molecular<\/span> parsing, which involves techniques such as single string confirmation <span class=\"term\" data-term-id=\"930\">polymorphism<\/span>, <span class=\"term\" data-term-id=\"1296\">DNA<\/span> analysis, denaturing gradient <span class=\"term\" data-term-id=\"1123\">gel<\/span> <span class=\"term\" data-term-id=\"81\">electrophoresis<\/span>or reverse transcriptase polymerase testing in the BTK gene<\/li>\n<li>Genetic testing of female relatives of a patient suspected of X-linked agammaglobulinemia<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1855\">In the womb<\/span> test through <span class=\"term\" data-term-id=\"1857\">chorionic villus sampling<\/span> or <span class=\"term\" data-term-id=\"1856\">amniocentesis<\/span>\n<\/li>\n<li>Tests at birth to detect a decrease in CD19 B cells and an elevated level of <span class=\"term\" data-term-id=\"417\">T cells<\/span> by fluorocytometric analysis<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-agammaglobulinemia-ligada-a-x\"><\/span>What is the treatment for ax-linked agammaglobulinemia?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There is no cure for X-linked agammaglobulinemia. However, treatment can greatly improve the quality of life for patients with X-linked agammaglobulinemia.<\/p>\n<ul>\n<li>Forever <span class=\"term\" data-term-id=\"427\">immunoglobulin<\/span> replacement therapy, administered intravenously or subcutaneously. This helps replace the antibodies that a patient with X-linked agammaglobulinemia cannot make on their own.<\/li>\n<li>\n<p>Antibiotics, sometimes used prophylactically, to reduce <span class=\"term\" data-term-id=\"145\">infection<\/span> rates.<\/li>\n<li>Refraining from live vaccines, including the measles, mumps, and rubella (MMR) vaccine, and polio, rotavirus, and chickenpox vaccines, which can actually cause the diseases they are supposed to prevent.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 son las gammaglobulinas? Las gammaglobulinas tambi\u00e9n se llaman inmunoglobulinas. Son prote\u00ednas producidas por plasma c\u00e9lulas y son esenciales para el sistema de defensa inmune del cuerpo. Agammaglobulinemia significa la&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7570","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7570"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7570\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}