title: Sporadic case of warts, hypogammaglobulinemia, immunodeficiency, and myelokathexis syndrome.
abstract: The term WHIM syndrome (WHIMS) is an acronym describing a rare primary immunodeficiency disorder characterized by warts, hypogammaglobulinemia, immunodeficiency, and myelokathexis, the unusual association of neutropenia with bone marrow myeloid hypercellularity. WHIMS was recently associated with mutations in the gene encoding the chemokine receptor CXCR4 and as such is the first disease ascribed to abnormalities of chemokine signaling. We report a sporadic case of WHIMS in a woman presenting with recurrent infections and human papilloma virus-related genital dysplasia.
authors.affiliation: Department of Immunology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, United Kingdom. mike.tarzi@bartsandthelondon.nhs.uk
authors.forename: Michael D
authors.initials: MD
authors.lastname: Tarzi
authors.forename: Michael
authors.initials: M
authors.lastname: Jenner
authors.forename: Keith
authors.initials: K
authors.lastname: Hattotuwa
authors.forename: Asma Z
authors.initials: AZ
authors.lastname: Faruqi
authors.forename: George A
authors.initials: GA
authors.lastname: Diaz
authors.forename: Hilary J
authors.initials: HJ
authors.lastname: Longhurst
mesh_terms: D000361:Agammaglobulinemia / Q000150:complications* / Q000175:diagnosis; D001853:Bone Marrow / Q000473:pathology*; D003218:Condylomata Acuminata / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007153:Immunologic Deficiency Syndromes / Q000150:complications* / Q000175:diagnosis; D007239:Infections / Q000150:complications / Q000188:drug therapy; D008875:Middle Aged; D009503:Neutropenia / Q000150:complications* / Q000175:diagnosis / Q000473:pathology*; D012008:Recurrence; D013577:Syndrome; D014844:Vulva / Q000473:pathology
chemical_list: D016756:Immunoglobulins, Intravenous