Omenn syndrome

Omenn syndrome (OS) is an inflammatory condition characterized by erythroderma, desquamation, alopecia, chronic diarrhea, failure to thrive, lymphadenopathy, and hepatosplenomegaly, associated with severe combined immunodeficiency (SCID; see this term).



Input patient's signs and symptoms


Narrow down the case reports



Total: 52 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(40.9%)
26186701
(4506145)
Leaky RAG Deficiency in Adult Patients with Impaired Antibody Production against Bacterial Polysaccharide Antigens.
Geier CB, Piller A, Linder A, Sauerwein KM, Eibl MM, Wolf HM.
PLoS One. 2015;10(7):e0133220.
Sinusitis
rs36001797
Adult CD4 Positive T Lymphocytes DNA-Binding Proteins Females Homeodomain Proteins Homo sapiens Immunologic Deficiency Syndromes Lipopolysaccharides Mutation Nuclear Proteins
2
(32.7%)
20538026
Fatal adult-onset antibody deficiency syndrome in a patient with cartilage hair hypoplasia.
Horn J, Schlesier M, Warnatz K, Prasse A, Superti-Furga A, Peter HH, Salzer U.
Hum Immunol. 2010;71(9):916-9.
Anemia Metaphyseal dysplasia
RMRP
g|INDEL|68_69|TT g|SUB|C|76|T
Adult Agammaglobulinemia Age of Onset Antibodies Base Sequence Bone Marrow Bronchiectasis Bronchoalveolar Lavage Fluid Congenital Hand Deformities Endoribonucleases Fatal Outcome Females Growth Disorders Hair Hirschsprung Disease Homo sapiens Immunologic Deficiency Syndromes Male Mutation Osteochondrodysplasias Pneumonia Sepsis Splenomegaly
3
(26.3%)
27713031
Agammaglobulinemia associated to nasal polyposis due to a hypomorphic RAG1 mutation in a 12 years old boy.
Cifaldi C, Scarselli A, Petricone D, Di Cesare S, Chiriaco M, Claps A, Rossi P, Calzoni E, Yamazaki Y, Notarangelo LD, Di Matteo G, Cancrini C, Finocchi A.
Clin Immunol. 2016;173:121-123.
Nasal polyposis
RAG1 RAG2
p|SUB|H|249|R;RS#:3740955 p|SUB|R|624|H;RS#:199474680 p|SUB|Y|728|H
Agammaglobulinemia B-Lymphocytes Child Common Variable Immunodeficiency Homeodomain Proteins Homo sapiens Male Mutation Nasal Polyps Phenotype
4
(4.0%)
31049936
Refining the dermatological spectrum in primary immunodeficiency: mucosa-associated lymphoid tissue lymphoma translocation protein 1 deficiency mimicking Netherton/Omenn syndromes.
Wiegmann H, Reunert J, Metze D, Marquardt T, Engel T, Kunde V, Ehl S, Foell D, van den Heuvel I, Oji V, Wittkowski H.
Br J Dermatol. 2019;:.
Failure to thrive
BCL10 IGHE MALT1 RAG1 RAG2 SPINK5
c|DUP|310|| c|SUB|T|245|C
Females Homo sapiens Infant Mucosa-Associated Lymphoid Tissue Lymphoma Mutation Serine Peptidase Inhibitor Kazal-Type 5 Severe Combined Immunodeficiency
4
(4.0%)
29610161
Topical Hypochlorite and Skin Acidification Improves Erythroderma of Omenn Syndrome.
Wat M, Olicker A, Meyerson H, Nedorost S, Paller AS, Cooper K.
Pediatrics. 2018;141(Suppl 5):S408-S411.
Erythroderma
Administration, Cutaneous Adrenal Cortex Hormones Dermatologic Agents Females Homo sapiens Hydrogen-Ion Concentration Infant, Newborn Severe Combined Immunodeficiency Skin Cream Skin Diseases, Bacterial
4
(4.0%)
27862277
Omenn Syndrome Presenting with Striking Erythroderma and Extreme Lymphocytosis in a Newborn.
Zafar R, Ver Heul A, Beigelman A, Bednarski JJ, Bayliss SJ, Dehner LP, Rosman IS, Coughlin CC.
Pediatr Dermatol. 2017;34(1):e37-e39.
Erythroderma
CD4 CD8A
DNA-Binding Proteins Females Homeodomain Proteins Homo sapiens Infant, Newborn Lymphocytosis Mutation Nuclear Proteins Severe Combined Immunodeficiency Skin
4
(4.0%)
26829731
[Analysis of genetic mutations and pathogenesis for two children with Omenn syndrome].
Xu Y, Chen Y, Chen H, Zeng H.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2016;33(1):38-43.
Erythroderma
RAG1 RAG2
c|DEL|2486_2490|GGAAA c|DEL|2892|T c|SUB|C|1209|T c|SUB|G|1328|A;RS#:764709729 p|FS|N|964|K|14 p|FS|R|829||869 p|SUB|R|403|W p|SUB|R|443|K;RS#:764709729
Adult Base Sequence DNA-Binding Proteins Females Heterozygote Homeodomain Proteins Homo sapiens Infant Male Molecular Sequence Data Mutation Nuclear Proteins Severe Combined Immunodeficiency
4
(4.0%)
26689875
Three faces of recombination activating gene 1 (RAG1) mutations.
Patiroglu T, Akar HH, Van Der Burg M.
Acta Microbiol Immunol Hung. 2015;62(4):393-401.
Skin rash
RAG1 RAG2
B-Lymphocytes Females Homeodomain Proteins Homo sapiens Infant Male Mutation Severe Combined Immunodeficiency T-Lymphocyte
4
(4.0%)
26289640
Omenn syndrome associated with a functional reversion due to a somatic second-site mutation in CARD11 deficiency.
Fuchs S, Rensing-Ehl A, Pannicke U, Lorenz MR, Fisch P, Jeelall Y, Rohr J, Speckmann C, Vraetz T, Farmand S, Schmitt-Graeff A, Kruger M, Strahm B, Henneke P, Enders A, Horikawa K, Goodnow C, Schwarz K, Ehl S.
Blood. 2015;126(14):1658-69.
Erythroderma
CARD11 IL2
p|SUB|C|150|*
Animals CARD Signaling Adaptor Proteins Females Flow Cytometry Guanylate Cyclase Homo sapiens Immunoblotting Immunohistochemistry Immunophenotyping Infant Lymphocyte Activation Male Mus Mutation Real-Time Polymerase Chain Reaction Regulatory T-Lymphocytes Severe Combined Immunodeficiency Sibling
4
(4.0%)
25739914
RAG1 deficiency may present clinically as selective IgA deficiency.
Kato T, Crestani E, Kamae C, Honma K, Yokosuka T, Ikegawa T, Nishida N, Kanegane H, Wada T, Yachie A, Ohara O, Morio T, Notarangelo LD, Imai K, Nonoyama S.
J Clin Immunol. 2015;35(3):280-8.
Hepatosplenomegaly
RAG1 RAG2
p|SUB|E|455|K p|SUB|R|764|H;RS#:768809293
Child, Preschool Homeodomain Proteins Homo sapiens Male Mutation Single Nucleotide Polymorphism T-Cell Receptor V(D)J Recombination
        

Phenotype(s) retrieved from Orphanet

    Total: 28

HPO ID Term Frequency
HP:0001019 Erythroderma Very frequent (99-80%)
HP:0001508 Failure to thrive Very frequent (99-80%)
HP:0001596 Alopecia Very frequent (99-80%)
HP:0002028 Chronic diarrhea Very frequent (99-80%)
HP:0002240 Hepatomegaly Very frequent (99-80%)
HP:0002716 Lymphadenopathy Very frequent (99-80%)
HP:0004332 Abnormal lymphocyte morphology Very frequent (99-80%)
HP:0004430 Severe combined immunodeficiency Very frequent (99-80%)
HP:0000958 Dry skin Frequent (79-30%)
HP:0000969 Edema Frequent (79-30%)
HP:0000989 Pruritus Frequent (79-30%)
HP:0001072 Thickened skin Frequent (79-30%)
HP:0001744 Splenomegaly Frequent (79-30%)
HP:0001880 Eosinophilia Frequent (79-30%)
HP:0001945 Fever Frequent (79-30%)
HP:0001974 Leukocytosis Frequent (79-30%)
HP:0002090 Pneumonia Frequent (79-30%)
HP:0007549 Desquamation of skin soon after birth Frequent (79-30%)
HP:0100840 Aplasia/Hypoplasia of the eyebrow Frequent (79-30%)
HP:0000100 Nephrotic syndrome Occasional (29-5%)
HP:0000821 Hypothyroidism Occasional (29-5%)
HP:0000944 Abnormality of the metaphysis Occasional (29-5%)
HP:0001831 Short toe Occasional (29-5%)
HP:0001903 Anemia Occasional (29-5%)
HP:0002665 Lymphoma Occasional (29-5%)
HP:0002960 Autoimmunity Occasional (29-5%)
HP:0100646 Thyroiditis Occasional (29-5%)
HP:0100806 Sepsis Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 21

HPO ID Term # of case reports
HP:0001880 Eosinophilia 12
HP:0001019 Erythroderma 9
HP:0001433 Hepatosplenomegaly 7
HP:0002721 Immunodeficiency 6
HP:0002716 Lymphadenopathy 5
HP:0002960 Autoimmunity 3
HP:0005387 Combined immunodeficiency 3
HP:0032252 Granuloma 3
HP:0000988 Skin rash 2
HP:0001508 Failure to thrive 2
HP:0002719 Recurrent infections 2
HP:0000979 Purpura 1
HP:0001047 Atopic dermatitis 1
HP:0001638 Cardiomyopathy 1
HP:0001888 Lymphopenia 1
HP:0005363 Humoral immunodeficiency 1
HP:0010783 Erythema 1
HP:0031430 Oligoclonal T cell expansion 1
HP:0032061 Hypereosinophilia 1
HP:0100806 Sepsis 1
HP:0100827 Lymphocytosis 1


Causative gene(s) retrieved from Orphanet

    Total: 9

Gene Symbol Gene Name Entrez Gene ID
ADA adenosine deaminase 100
RAG1 recombination activating 1 5896
RAG2 recombination activating 2 5897
CHD7 chromodomain helicase DNA binding protein 7 55636
DCLRE1C DNA cross-link repair 1C 64421
IL2RG interleukin 2 receptor subunit gamma 3561
LIG4 DNA ligase 4 3981
RMRP RNA component of mitochondrial RNA processing endoribonuclease 6023
IL7R interleukin 7 receptor 3575