Chandra's syndrome

Immunodeficiency associated with laevocardia, bronchiectasis, and paranasal sinus anomalies

In a case of laevocardia, bronchiectasis, and paranasal sinus abnormalities, assessment on 2 occasions showed the presence of moderate immunodeficiency. Serum concentrations of IgG and IgM were low, and serum and salivary IgA was not detected. T-lymphocytes were reduced in number and cell-mediated immunity in vivo and in vitro was impaired. Opsonisation, complement system, and neutrophil functions were normal.

Spontaneous maturation of stage IV--S neuroblastoma

A case of stage IV--S neuroblastoma is presented in which treatment has deliberately been kept to a minimum. Gradual maturation to ganglioneuroma has been documented and the patient's generally good progress has justified this approach.