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BabyScreen+ newborn screening v1.114 IL21R Tommy Li Added phenotypes Immunodeficiency 56, MIM# 615207 for gene: IL21R
BabyScreen+ newborn screening v0.2006 IL21R Zornitza Stark Marked gene: IL21R as ready
BabyScreen+ newborn screening v0.2006 IL21R Zornitza Stark Gene: il21r has been classified as Green List (High Evidence).
BabyScreen+ newborn screening v0.2006 IL21R Zornitza Stark Classified gene: IL21R as Green List (high evidence)
BabyScreen+ newborn screening v0.2006 IL21R Zornitza Stark Gene: il21r has been classified as Green List (High Evidence).
BabyScreen+ newborn screening v0.2005 IL21R Zornitza Stark gene: IL21R was added
gene: IL21R was added to Baby Screen+ newborn screening. Sources: Expert list
treatable, immunological tags were added to gene: IL21R.
Mode of inheritance for gene: IL21R was set to BIALLELIC, autosomal or pseudoautosomal
Phenotypes for gene: IL21R were set to Immunodeficiency 56, MIM# 615207
Review for gene: IL21R was set to GREEN
Added comment: Biallelic inactivating mutations in IL21R causes a combined immunodeficiency that is often complicated by cryptosporidium infections.

More than 20 individuals reported. Recent series of 13 individuals: the main clinical manifestations were recurrent bacterial (84.6%), fungal (46.2%), and viral (38.5%) infections; cryptosporidiosis-associated cholangitis (46.2%); and asthma (23.1%). Inflammatory skin diseases (15.3%) and recurrent anaphylaxis (7.9%) constitute novel phenotypes of this combined immunodeficiency. Most patients exhibited hypogammaglobulinaemia and reduced proportions of memory B cells, circulating T follicular helper cells, MAIT cells and terminally differentiated NK cells. However, IgE levels were elevated in 50% of IL-21R-deficient patients.

Onset: infancy/early childhood.

Treatment: BMT.

Non-genetic confirmatory testing: immunoglobulin levels.
Sources: Expert list