TAP deficiency syndrome: chronic rhinosinusitis and conductive hearing loss.
Nose-ear-throat manifestations of immunodeficiency disorders represent a diagnostic challenge for clinicians as these diseases often constitute the initial sign for connective disorders or autoimmune disease. The history of chronic rhinosinusitis and conductive hearing loss is often non specific. Therefore attention to an HLA class I deficiency must be considered if the disease has not been diagnosed on routine examination. One of the syndromes is due to a defective TAP complex, the peptide transporter complex associated with antigen presentation. Herein, we report two sisters with TAP-deficiency. The treatment of choice for TAP-deficient patients is conservative.
Caversaccio
Marco
M
Department of ENT, Head and Neck Surgery, Inselspital, University of Berne, Freiburgstrasse, 3010, Berne, Switzerland, marco.caversaccio@insel.ch.
Bonél
Harald Marcel
HM
Carter
Rachel
R
Williams
Anthony P
AP
Gadola
Stephan D
SD
D018528:ATP-Binding Cassette Transporters / Q000378:metabolism*; D000328:Adult; D015415:Biomarkers / Q000378:metabolism; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D005434:Flow Cytometry; D006314:Hearing Loss, Conductive / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism; D015395:Histocompatibility Antigens Class I; D006801:Humans; D008279:Magnetic Resonance Imaging; D012220:Rhinitis / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism; D012852:Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism; D013577:Syndrome
D018528:ATP-Binding Cassette Transporters; D015415:Biomarkers; D015395:Histocompatibility Antigens Class I; C477327:transporter associated with antigen processing (TAP)