Q:

For each of the types of immunological deficiency states listed on the left select the most appropriate association from those on the right

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For each of the types of immunological deficiency states listed on the left select the most appropriate association from those on the right.

a. Di George syndrome.

b. Infantile sex-linked agammaglobulinaemia.

c. Severe combined immunodeficiency.


  1. Defective B-cell function.
  2. Defective B- and T-cell function.
  3. Defective T-cell function.
  4. Defective platelets.
  5. Defective vessels.

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The answer is C, A, B. Di George syndrome - defective TT-cell function. There is almost complete failure of development of the thymus and parathyroids from the third and fourth branchial arches.

Infantile sex-linked agammaglobulinaemia - defective B-cell function. This selective B-cell defect (Bruton type) results in failure to produce IgG, IgM and IgA.

Severe combined immunodeficiency - defective B- and T-cell function. This combined type (Swiss type) of agammaglobulinaema has failure of development of both thymus dependent and thymus independent systems.

Platelets are abnormal (D) in the rare Wiskott-Aldrich syndrome in which T-cell function, IgM and IgA are also abnormal.

Abnormal vessels (E) are a feature of ataxia telangiectasia in which there is abnormal cell mediated immunity and low levels of IgA and IgE. 

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