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Farough S, Karaa A, Walker MA, Slate N, Dasu T, Verbsky J, Fusunyan R, Canapari C, Kinane TB, Van Cleave J, Sweetser DA, Sims KB, Walter JE. Coenzyme Q10 and immunity: A case report and new implications for treatment of recurrent infections in metabolic diseases. Clin Immunol 2014; 155:209-12. [PMID: 25264263 DOI: 10.1016/j.clim.2014.09.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Revised: 09/14/2014] [Accepted: 09/17/2014] [Indexed: 01/12/2023]
Abstract
Coenzyme Q10 (CoQ10) deficiency can manifest diversely, from isolated myopathy to multisystem involvement. Immune dysregulation has not been reported as a feature of the disease. We report a four-year old girl with failure to thrive, recurrent infections, developmental delay with hypotonia, and CoQ10 deficiency with impaired immune function, which improved after CoQ10 and immunoglobulin replacement therapy. Immune dysfunction in CoQ10 deficiency should be considered and treated appropriately.
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Affiliation(s)
- S Farough
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA.
| | - A Karaa
- Department of Genetics, Brigham and Women's Hospital, Children's Hospital, Boston, MA, USA
| | - M A Walker
- Department of Pediatric Neurology, Massachusetts General Hospital, Boston, MA, USA
| | - N Slate
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA
| | - T Dasu
- Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA
| | - J Verbsky
- Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA
| | - R Fusunyan
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA
| | - C Canapari
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA
| | - T B Kinane
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA
| | - J Van Cleave
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA
| | - D A Sweetser
- Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA
| | - K B Sims
- Department of Pediatric Neurology, Massachusetts General Hospital, Boston, MA, USA
| | - J E Walter
- Pediatric Immunodeficiency Program, Massachusetts General Hospital for Children, Boston, USA.
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