X-linked agammaglobulinemia (XLA) Overview X-linked agammaglobulinemia (XLA), or Bruton's agammaglobulinemia, is a rare inherited immunodeficiency caused by mutations in the BTK gene, preventing B-cell maturation and resulting in very low antibody levels. Primarily affecting males, it leads to recurrent bacterial infections, commonly starting at 6-9 months old, requiring lifelong immunoglobulin replacement therapy. Symptoms Recurrent Infections: Frequent, persistent, or severe infections of the ears (otitis media), sinuses (sinusitis), nose (rhinitis), and lungs (pneumonia, bronchitis). Respiratory Infections: Bacterial pneumonia is common and, when it occurs in infants, is a strong indicator of XLA. Skin and Eye Infections: Abscesses, pyoderma, and conjunctivitis (pink eye). Gastrointestinal Issues: Chronic diarrhea, often due to a lack of IgA antibodies. Serious Infections: Sepsis (blood poisoning), meningitis (spinal cord infection), and septic arthritis. Physical Findings :...
X-Linked Adrenoleukodystrophy Overview X-linked adrenoleukodystrophy (ALD) is a rare genetic disorder that affects the white matter of the nervous system and the adrenal cortex. White matter is made up of nerve fibers called axons that relay nerve impulses from one cell to another. These nerve fibers are covered by myelin, an insulating layer or sheath that protects the nerve fibers. Myelin is made up of proteins and fats and gives white matter its white color. Without myelin, the signals between nerve cells cannot be transmitted properly, resulting in neurological symptoms. The adrenal cortex is the outer layer of cells of the adrenal glands. The adrenal glands sit atop the kidneys and produce hormones that are vital to proper health and development including cortisol and the sex hormones. Many of those affected experience serious neurological problems either during childhood or during adulthood with rather different types of disabilities. Some affected individuals also have adrenal i...