Tuesday 3 May 2016

Chediak-Higashi Syndrome | Crack PGIMER 22 MAY 2016


Which is seen in Chediak-Higashi syndrome:

A. Leukocytosis 
B. Neutropenia 
C. Defective microbial killing 
D. Presence of large granules in neutrophil 
E. Immunodeficiency


The Answer is. (B) Neutropenia; (C) Defective microbial killing; (D) Presence of large granules in neutrophil; (E) Immunodeficiency:
• Chediak-Higashi syndrome is a rare disease with autosomal recessive inheritance due to defect in lysosomal transport protein LYST, encoded by genes CHS 1 at 1q 42. The protein is required for normal packaging and disbursement of granules.
• There is hypopigmentation of skin, eyes and hair, photophobia, nystagmus and giant peroxidase positive inclusions in the cytoplasm of leukocytes,
• Neutropenia occurs
• Defective microbial killing, impaired chemotaxis are seen

• Immune deficiency (Primary) can occur