A vasculite por deficiência de ADA2 é uma doença rara, genética, sistêmica e reumatológica devido a mutações inativadoras da adenosina desaminase-2, combinando características variáveis de autoinflamação, vasculite e imunodeficiência leve. A apresentação clínica variável inclui inflamação sistêmica crônica ou recorrente com febre, livedo reticular ou racemoso, acidente vascular cerebral isquêmico ou hemorrágico de início precoce, neuropatia periférica, dor abdominal, hepatoesplenomegalia, hipertensão portal, poliarterite nodosa cutânea, citopenia variável e deficiência de imunoglobulina.
Introdução
O que você precisa saber de cara
A vasculite por deficiência de ADA2 é uma doença rara, genética, sistêmica e reumatológica devido a mutações inativadoras da adenosina desaminase-2, combinando características variáveis de autoinflamação, vasculite e imunodeficiência leve. A apresentação clínica variável inclui inflamação sistêmica crônica ou recorrente com febre, livedo reticular ou racemoso, acidente vascular cerebral isquêmico ou hemorrágico de início precoce, neuropatia periférica, dor abdominal, hepatoesplenomegalia, hipertensão portal, poliarterite nodosa cutânea, citopenia variável e deficiência de imunoglobulina.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 33 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 64 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Adenosine deaminase that may contribute to the degradation of extracellular adenosine, a signaling molecule that controls a variety of cellular responses. Requires elevated adenosine levels for optimal enzyme activity. Binds to cell surfaces via proteoglycans and may play a role in the regulation of cell proliferation and differentiation, independently of its enzyme activity
Secreted
Vasculitis, autoinflammation, immunodeficiency, and hematologic defects syndrome
An autosomal recessive, systemic necrotizing vasculitis that affects medium and small arteries. The ensuing tissue ischemia can affect any organ, including the skin, musculoskeletal system, kidneys, gastrointestinal tract, and the cardiovascular and nervous systems. Organ involvement and disease severity are highly variable. Clinical features include recurrent ischemic stroke affecting the small vessels of the brain and resulting in neurologic dysfunction, recurrent fever, myalgias, livedoid rash, gastrointestinal pain and hepatosplenomegaly.
Medicamentos aprovados (FDA)
2 medicamentos encontrados nos registros da FDA americana.
Variantes genéticas (ClinVar)
627 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 550 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
2 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Deficiência de adenosina deaminase 2
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Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
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Publicações mais relevantes
ADA2-deficient cells exhibit increased levels of cell death and metabolic disturbances.
Deficiency of adenosine deaminase 2 (DADA2) causes a complex phenotype of autoinflammation and immunodeficiency. Bone marrow failure is often refractory to treatment with tumour necrosis factor-alpha (TNF-alpha) inhibitors and additional treatment options are needed. However, the pathomechanisms underlying the disease remain incompletely understood. The aim of this study was to examine the viability and metabolic profile of ADA2-deficient cells and to characterise the activity of different cell death pathways to advance the mechanistic understanding of DADA2. By flow cytometry and western blot, we showed that ADA2-/- U-937 cells and PBMCs from DADA2 patients showed significantly elevated levels of cell death compared with cells expressing wild-type ADA2. Viability of ADA2-deficient cells was not improved by inhibitors of apoptosis, necroptosis, pyroptosis and ferroptosis. Blocking of TNF-alpha, type I interferon and STING signalling as well as reintroduction of wild-type ADA2 protein did not rescue the cell death phenotype in vitro. ADA2-deficient cells had an aberrant morphology with increased cell size and granularity and were impaired in their proliferative capacity. To identify the cause of the impaired viability, we performed 13C glucose tracer metabolomics experiments which revealed disturbances in the pentose phosphate pathway of ADA2-deficient cells. This tended to be associated with increased exposure to intracellular reactive oxygen species that was attenuated in the PBMCs of a DADA2 patient measured after successful hematopoietic stem cell transplantation. Collectively, our findings established increased levels of cell death as a possible pathomechanism of DADA2 and showed that the absence of ADA2 leads to an impairment of the pentose phosphate pathway which may account for the cellular vulnerability of ADA2-deficient cells.
Hematopoietic Stem Cell Transplantation in Rheumatic Diseases.
Hematopoietic stem cell transplantation (HSCT) is an emerging therapeutic strategy for severe autoimmune rheumatic diseases (AIRD) where conventional therapies often fail to achieve long-term remission. This review focuses on the role of HSCT in specific AIRD, including systemic sclerosis (SSc), systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), deficiency of adenosine deaminase 2 (DADA2), antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, Takayasu arteritis (TA), and juvenile idiopathic arthritis (JIA). The objective was to evaluate the efficacy, immunological mechanisms, patient selection criteria, conditioning regimens, and outcomes of HSCT in the management of these specific AIRD, with a focus on systemic sclerosis-associated interstitial lung disease (SSc-ILD). A comprehensive literature review was conducted, analyzing clinical trials, observational studies, and preclinical research on HSCT in the following AIRD: SSc, SLE, RA, DADA2, ANCA-associated vasculitis, TA, and JIA. The review examined pulmonary outcomes, immune reconstitution, CD34+ cell selection, and post-transplant immunosuppression. Keywords used in the search included SSc, SLE, RA, DADA2, ANCA-associated vasculitis, Takayasu arteritis, and JIA. HSCT has demonstrated promising outcomes, particularly in diffuse cutaneous SSc with ILD improvement and in refractory cases of SLE, RA, and JIA. In DADA2, HSCT can reverse hematological, immunological, and vascular phenotypes. While effective in some cases of ANCA-associated vasculitis and TA, relapses and complications remain a concern. Immunological benefits include the regeneration of a self-tolerant immune system. However, early transplant-related mortality (TRM) necessitates careful patient selection and reduced toxicity conditioning. HSCT offers a transformative approach for select patients with refractory SSc, SLE, RA, DADA2, ANCA-associated vasculitis, TA, and JIA, achieving long-term, drug-free remission in some. Future research should optimize conditioning protocols, refine patient selection, and assess long-term outcomes to maximize HSCT benefits and minimize risks.
Targeting cytokine pathways: the role of biologics in autoinflammatory disorders.
Autoinflammatory diseases are inherited disorders of innate immunity, broadly classified into inflammasomopathies, interferonopathies, and complement-mediated disorders. They are characterized by dysregulated cytokine signaling - particularly IL-1, IL-6, TNF, type I interferon, and the JAK-STAT pathway-and are increasingly managed with molecular targeted therapies. Prototypical entities include familial Mediterranean fever (FMF), TNF receptor - associated periodic syndrome (TRAPS), and cryopyrin-associated periodic syndromes (CAPS). Other conditions - notably mevalonate kinase deficiency (MKD/HIDS), deficiency of adenosine deaminase 2 (DADA2), haploinsufficiency of A20 (HA20), OTULIN-related autoinflammatory syndromes, and proteasome-associated autoinflammatory syndromes (PRAAS) - are now recognized as biologic-responsive diseases. This review summarizes molecular mechanisms and therapeutic strategies, focusing on IL-1 blockade with anakinra, canakinumab, and rilonacept, as well as IL-6 and TNF inhibitors, integrating evidence from clinical trials and real-world studies. IL-1 inhibition has transformed the management of inflammasome-mediated diseases, enabling glucocorticoid-free remission and reducing amyloidosis risk. TNF inhibitors remain standard for vasculopathic disorders such as DADA2, while IL-6 blockade and JAK inhibitors are options in selected refractory cases. The recognition of novel syndromes, including HA20, OTULIN deficiency, and PRAAS, has broadened the therapeutic landscape, and next-generation biologics may further enable personalized treatment.
Hepatic Vascular Involvement in Adenosine Deaminase 2 Deficiency (DADA2): Case Reports and Literature Review.
Background and Clinical Significance: Deficiency of Adenosine Deaminase 2 (DADA2) is a rare monogenic vasculopathy characterised by systemic inflammatory and immunodeficiency features. Although neurological and haematological manifestations are well-documented, hepatic vascular involvement remains underappreciated. This report aims to describe the clinical and imaging characteristics of hepatic vascular involvement in a patient with DADA2 and to illustrate the evolution of hepatic lesions during long-term Etanercept therapy. In addition, we provide a synthesis of the available evidence on hepatic manifestations in DADA2, emphasising vascular pathology, clinical presentation, and therapeutic implications. Case Presentation: We describe a girl with early-onset DADA2 presenting with recurrent systemic inflammation, hypogammaglobulinaemia, vasculopathy, and two childhood strokes, followed by the development of multiple FNH-like hepatic nodules on CEUS and MRI with persistently elevated GGT. Genetic testing confirmed biallelic ADA2 mutations, and treatment with Etanercept led to sustained clinical stabilisation and marked regression of liver lesions over a nine-year follow-up period. Her older sister, carrying the same mutations, showed a milder phenotype without hepatic involvement but experienced a mesenteric vascular event. Conclusions: Large regenerative nodules with an FNH-like appearance on CEUS or MRI have not been previously reported in this setting. In our patient, Etanercept therapy produced a favourable hepatic response, reflected by a significant reduction in both the number and size of the lesions. Our case contributes to the understanding of liver disease in DADA2 and the influence of imaging and treatment on the hepatic manifestations of the condition.
The Natural History of Deficiency of Adenosine Deaminase 2 Vasculitis in a Large Cohort and Factors Associated With Disease-Related Damage.
To describe the clinical and laboratory findings, disease course, and treatment effectiveness of a large, genetically homogenous group of patients with deficiency of adenosine deaminase 2 (DADA2), and to identify factors associated with disease-related damage. We conducted a retrospective cohort study that included 45 patients with DADA2 vasculitis with long-term follow-up. Information was collected from patients' charts, including demographic information, clinical presentations, laboratory findings, and treatment. The extent of disease-related damage was determined based on the Vasculitis Damage Index. In this large homogenous cohort, we found that a young age at disease onset and periodic illness that included recurrent episodes of fever, myalgia, and abdominal pain were associated with disease-related damage. Patients with severe DADA2 disease responded favorably to tumor necrosis factor inhibitors (TNFi). Early age of onset and the periodic nature of the disease warrant prompt initiation of TNFi treatment to prevent later complications and severe disease progression.
Publicações recentes
ADA2-deficient cells exhibit increased levels of cell death and metabolic disturbances.
Hematopoietic Stem Cell Transplantation in Rheumatic Diseases.
Deficiency of adenosine deaminase 2: Myriad faces in a single family.
Targeting cytokine pathways: the role of biologics in autoinflammatory disorders.
Hepatic Vascular Involvement in Adenosine Deaminase 2 Deficiency (DADA2): Case Reports and Literature Review.
📚 EuropePMC97 artigos no totalmostrando 195
ADA2-deficient cells exhibit increased levels of cell death and metabolic disturbances.
Cell death discoveryHematopoietic Stem Cell Transplantation in Rheumatic Diseases.
International journal of rheumatic diseasesDeficiency of adenosine deaminase 2: Myriad faces in a single family.
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and ImmunologyTargeting cytokine pathways: the role of biologics in autoinflammatory disorders.
Expert review of clinical immunologyHepatic Vascular Involvement in Adenosine Deaminase 2 Deficiency (DADA2): Case Reports and Literature Review.
Diagnostics (Basel, Switzerland)The Natural History of Deficiency of Adenosine Deaminase 2 Vasculitis in a Large Cohort and Factors Associated With Disease-Related Damage.
The Journal of rheumatologyDecoding neurovascular signatures: advanced imaging insights in DADA2-Related Cerebral Microangiopathy.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyGene therapy supports long-term reconstitution of patient hematopoietic stem cells in deficiency of adenosine deaminase 2.
Molecular therapy. Methods & clinical developmentDiverse Phenotypic Expressions of ADA2 Deficiency: Two Case Studies.
Iranian journal of allergy, asthma, and immunologyPhenotypes of patients with more than one autoinflammatory disease-associated gene variant: overlapping and mixed autoinflammatory disorders.
Rheumatology (Oxford, England)Diagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.
Arthritis & rheumatology (Hoboken, N.J.)Early-onset neutropenia and mixed phenotype in ADA2 deficiency: diagnostic and therapeutic challenges.
Frontiers in immunologyEarly-onset vasculitis: a toddler with ADA2 deficiency.
BMJ case reportsA Clinical Case Report of Deficiency of Adenosine Deaminase 2 Syndrome (DADA 2) Presenting as a Brachial Artery Aneurysm.
Mediterranean journal of rheumatologyDominant negative ADA2 mutations cause ADA2 deficiency in heterozygous carriers.
The Journal of experimental medicineDadaism catches up with DADA2.
The Journal of experimental medicinePediatric Sneddon syndrome presenting with early-onset liver fibrosis: a rare case report.
Oxford medical case reportsVasculitis in autoinflammatory diseases.
Current opinion in rheumatologyPediatric-Onset Polyarteritis Nodosa and Deficiency of Adenosine Deaminase 2: Clinical Overlap and Divergence.
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseasesInhibition of lysosomal degradation increases expression of mutant ADA2 in DADA2 monocytes.
The Journal of allergy and clinical immunologyNET Proteomic Profiling Reveals New Pathways Potentially Implicated in Dendritic Cell-Mediated Inflammation in DADA2 Patients.
Journal of clinical immunologyNailfold videocapillaroscopy in patients with deficiency of adenosine deaminase 2 (DADA2): a case-control study.
Pediatric rheumatology online journalThe pathogenesis, clinical presentations and treatment of monogenic systemic vasculitis.
Nature reviews. RheumatologyArterial and venous thrombosis in systemic and monogenic vasculitis.
Nature reviews. Rheumatology[ADA2, an Adenosine Deaminase Isozyme Acting as a Regulator of Autoinflammation].
Yakugaku zasshi : Journal of the Pharmaceutical Society of JapanMimics and challenging presentations of DADA2.
Clinical and experimental immunologyDeficiency of Adenosine Deaminase 2 Masquerading as Behçet's Disease: Phenotypic Mimicry with HLA-B*51 Positivity.
Journal of clinical immunologyInfantile Pure Red Cell Aplasia Secondary to Deficiency of Adenosine Deaminase2 (DADA2) Syndrome-Time to Think Beyond Diamond Blackfan Anemia.
Pediatric blood & cancerIdiopathic polyarteritis nodosa - does it still exist? Viewpoint 1: as our knowledge makes progress, idiopathic polyarteritis nodosa is fading away.
Rheumatology (Oxford, England)Idiopathic polyarteritis nodosa-does it still exist? Viewpoint 2: idiopathic polyarteritis nodosa is rare, but still exists.
Rheumatology (Oxford, England)Deficiency of adenosine deaminase 2 skews adaptive immune repertoires toward specific sets of T- and B-cell receptors.
The Journal of allergy and clinical immunologyCase Report: Novel ADA2 variants cause atypical adenosine deaminase 2 deficiency.
Frontiers in geneticsDeficiency of adenosine deaminase 2 (DADA2) with recurrent ischemic stroke, fever and cutaneous changes: A case report.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyCentral nervous system vasculopathy: inherited or acquired? The DADA2 conundrum.
Practical neurologyExtreme Phenotypic Variation in Siblings with Identical Homozygous Mutations Causing ADA2 Deficiency: A Case Series.
Turkish journal of haematology : official journal of Turkish Society of HaematologyMisdiagnosed for 14 Years: Adenosine Deaminase 2 (ADA2) Deficiency in a Teen Mimicking Polyarteritis Nodosa.
Clinical case reportsDeficiency of adenosine deaminase 2 (DADA2) presented with bilateral renal subcapsular hematoma: a case report and literature review.
Annals of medicine and surgery (2012)Bilateral cataracts in a three-year-old with deficiency of adenosine deaminase 2 (DADA2), hyperferritinemia, and prolonged steroid use.
Ophthalmic geneticsCarrier frequency and incidence estimation of deficiency of adenosine deaminase 2 in the Chinese population based on massive exome sequencing data.
Clinical immunology (Orlando, Fla.)Rare primary vasculitis: update on multiple complex diseases and the new kids on the block.
Advances in rheumatology (London, England)Early bone marrow alterations in patients with adenosine deaminase 2 deficiency across disease phenotypes and severities.
The Journal of allergy and clinical immunologyClinical spectrum of and outcomes for Indian children with deficiency of adenosine deaminase 2 (DADA2): a multicentric study.
Rheumatology (Oxford, England)Deficiency of adenosine deaminase 2 (DADA2) with bilateral renal subcapsular hematoma: a case report and literature review.
Annals of medicine and surgery (2012)Adalimumab-Associated Depressive Symptoms in a Patient With Vasculitis, Autoinflammation, Immunodeficiency, and Hematologic Defects Syndrome.
The primary care companion for CNS disorders[Advances in gene therapy for inborn errors of immunity].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsDeficiency of Adenosine Deaminase 2.
Turkish journal of haematology : official journal of Turkish Society of HaematologyUpdate on ocular manifestations of the main monogenic and polygenic autoinflammatory diseases.
Frontiers in ophthalmologyHuman ADA2 Deficiency: Ten Years Later.
Current allergy and asthma reportsDeficiency of adenosine deaminase 2 leading to recurrent Hodgkin lymphoma: A case report.
SAGE open medical case reportsDeficiency of adenosine deaminase 2 (DADA2) presenting with diffuse skeletal muscle vasculitis.
Journal of paediatrics and child healthADA2 regulates inflammation and hematopoietic stem cell emergence via the A2bR pathway in zebrafish.
Communications biologyDevelopment of EBV Related Diffuse Large B-cell Lymphoma in Deficiency of Adenosine Deaminase 2 with Uncontrolled EBV Infection.
Journal of clinical immunologyDeficiency of adenosine deaminase 2: a genetic autoinflammatory disorder mimicking childhood polyarteritis nodosa.
BMJ case reportsA case report on deficiency of adenosine deaminase 2 with relapse-remission course and analysis of genotype-phenotype correlation.
American journal of medical genetics. Part AClinical Characteristics and Outcomes of Polyarteritis Nodosa: An International Study.
Arthritis & rheumatology (Hoboken, N.J.)Infliximab as successful treatment option in a case of adenosine deaminase 2 deficiency.
ReumatismoA Successful Infliximab Treatment of a Pediatric Case of Severe Polyarteritis Nodosa With a Cerebral Infarction and a Decreased Adenosine Deaminase 2 Activity.
CureusDeficiency of Adenosine Deaminase 2: Clinical Manifestations, Diagnosis, and Treatment.
Rheumatic diseases clinics of North AmericaOcular involvement in adult and paediatric patients with monogenic autoinflammatory diseases: a Spanish multicentre retrospective study.
Clinical and experimental rheumatologyVasculitis associated with adenosine deaminase 2 deficiency: at the crossroads between Behçet's disease and autoinflammation. A viewpoint.
ReumatismoDeficiency of adenosine deaminase 2 as an unrecognized cause of early-onset stroke and cranial nerve palsy.
Northern clinics of IstanbulA new CECR1 mutation associated with severe hematological involvement in ADA2 deficiency.
Immunity, inflammation and diseaseCerebral Aneurysms and Recurrent TIAs in a 42-Year-Old Patient With DADA2 Mutation: A Case Report.
Neurology. GeneticsA case with febrile attacks and vasculopathy associated with ADA2 and MEFV pathogenic variants.
Modern rheumatology case reportsKidney Involvement in Autoinflammatory Diseases.
Kidney diseases (Basel, Switzerland)Adenosine Deaminase 2 Deficiency Caused by Biallele Variants Including Splicing Variant: The First Case in Korea.
Journal of rheumatic diseasesAdenosine deaminase 2 deficiency in a Chinese patient: Report of one novel mutation and literature review.
Journal of cosmetic dermatologyCase Report: Patient with deficiency of ADA2 presenting leukocytoclastic vasculitis and pericarditis during infliximab treatment.
Frontiers in pediatricsDeficiency of adenosine deaminase 2 (DADA2): Review.
Best practice & research. Clinical rheumatologyA case series of ten plus one deficiency of adenosine deaminase 2 (DADA2) patients in Iran.
Pediatric rheumatology online journalBrainstem Infarction in Immunodeficiency Identified as Adenosine Deaminase 2 Deficiency: Case Report.
Journal of clinical immunologyClinical Symptoms, Laboratory Parameters and Long-Term Follow-up in a National DADA2 Cohort.
Journal of clinical immunologyEvaluation and Management of Deficiency of Adenosine Deaminase 2: An International Consensus Statement.
JAMA network openFinding a Quorum in Deficiency of Adenosine Deaminase 2 Management.
JAMA network openA brazilian nationwide multicenter study on deficiency of deaminase-2 (DADA2).
Advances in rheumatology (London, England)Case Report: Interindividual variability and possible role of heterozygous variants in a family with deficiency of adenosine deaminase 2: are all heterozygous born equals?
Frontiers in immunologyA wide spectrum of phenotype of deficiency of deaminase 2 (DADA2): a systematic literature review.
Orphanet journal of rare diseasesComparison of disease phenotypes and mechanistic insight on causal variants in patients with DADA2.
The Journal of allergy and clinical immunologyDeficiency of adenosine deaminase 2: a challenging differential diagnosis of polyarteritis nodosa.
ReumatologiaA Cohort Study on Deficiency of ADA2 from China.
Journal of clinical immunologyADA2 deficiency (DADA2) misdiagnosed as systemic onset juvenile idiopathic arthritis in a child carrying a novel compound heterozygous ADA2 mutation: a case report.
Translational pediatricsA Unique Case of Deficiency of Adenosine Deaminase 2 Single in a Young Adult Patient.
CureusA novel frameshift variant in the ADA2 gene of a patient with a neurological phenotype: a case report.
Pediatric rheumatology online journalADA2 Deficiency Mimicking Acute Disseminated Encephalomyelitis.
Journal of clinical immunologyA Rare Genetic Mutation Leading to a Deficiency of Adenosine Deaminase 2 Enzyme in a Long-Standing Case of Cutaneous Polyarteritis Nodosa: A Case Report.
CureusRecent topics related to etiology and clinical manifestations of cutaneous arteritis.
Frontiers in medicineCase Report: Consistent disease manifestations with a staggered time course in two identical twins affected by adenosine deaminase 2 deficiency.
Frontiers in immunologyCellCallEXT: Analysis of Ligand-Receptor and Transcription Factor Activities in Cell-Cell Communication of Tumor Immune Microenvironment.
CancersCase Report: Susceptibility to viral infections and secondary hemophagocytic lymphohistiocytosis responsive to intravenous immunoglobulin as primary manifestations of adenosine deaminase 2 deficiency.
Frontiers in immunologyBreak down the barriers of auto-inflammation: How to deal with a monogenic auto-inflammatory disease and immuno-haematological features in 2022?
ImmunologyAllogeneic Hematopoietic Cell Transplantation for Patients With Deficiency of Adenosine Deaminase 2 (DADA2): Approaches, Obstacles and Special Considerations.
Frontiers in immunologyAdenosine Deaminase 2 Deficiency (DADA2): A Crosstalk Between Innate and Adaptive Immunity.
Frontiers in immunologyCase Report: Deficiency of Adenosine Deaminase 2 (DADA2) as a Cause of Brainstem Stroke in a 3-Year-Old Girl and the Importance of Early Fast-Track Genetic Diagnostics to Influence Therapy.
NeuropediatricsDeficiency of Adenosine Deaminase 2 Presenting as Periodic Fever at the Mainland of Familial Mediterranean Fever.
Journal of clinical immunologyUnveiling Deficiency of Adenosine Deaminase 2: An Adult Patient With Recurrent Strokes, Vasculitic Ulcers, and Bowel Perforation.
The Journal of rheumatologyClinical presentation of children with Deficiency of Adenosine deaminase 2: A case series.
European journal of medical geneticsEvaluation of subclinical ocular involvement in patients with deficiency of adenosine deaminase 2 (DADA2).
Clinical rheumatologyEarly onset is an indication of the severity of DADA2 disease.
Rheumatology (Oxford, England)Young Stroke and Systemic Manifestations: Deficiency of Adenosine Deaminase-2 (DADA-2).
Annals of Indian Academy of NeurologyImportance of the determination of enzymatic activity in the diagnosis of deficiency of adenosine deaminase 2 (DADA2).
Medicina clinicaMechanisms of vascular inflammation in deficiency of adenosine deaminase 2 (DADA2).
Seminars in immunopathologyThe Spectrum of the Deficiency of Adenosine Deaminase 2: An Observational Analysis of a 60 Patient Cohort.
Frontiers in immunologyA Case of Deficiency of Adenosine Deaminase 2: 28 years of Diagnostic Challenges.
Case reports in nephrology and dialysisNovel Adenosine Deaminase 2 (ADA2) Mutations Associated With Hematological Manifestations.
Journal of investigative medicine high impact case reportsTNF inhibition in vasculitis management in adenosine deaminase 2 deficiency (DADA2).
The Journal of allergy and clinical immunology[Autoinflammation-differences between children and adults].
Zeitschrift fur RheumatologieSingle-cell profiling of T lymphocytes in deficiency of adenosine deaminase 2.
Journal of leukocyte biologyCase Report: Deficiency of Adenosine Deaminase 2 Presenting With Overlapping Features of Autoimmune Lymphoproliferative Syndrome and Bone Marrow Failure.
Frontiers in immunologyInternuclear Ophthalmoplegia in a Child With Deficiency of Adenosine Deaminase 2.
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology SocietyDADA2 diagnosed in adulthood versus childhood: A comparative study on 306 patients including a systematic literature review and 12 French cases.
Seminars in arthritis and rheumatismTreatment and Outcome in Deficiency of Adenosine Deaminase 2: A Literature Review.
Journal of investigational allergology & clinical immunologyDeficiency of adenosine deaminase 2 (DADA2): two cases of multisystem vasculitis managed in a South Indian tertiary care centre.
BMJ case reportsHematopoietic Cell Transplantation Cures Adenosine Deaminase 2 Deficiency: Report on 30 Patients.
Journal of clinical immunologyDeficiency of Adenosine Deaminase 2-a Monogenic Cause of Wunderlich Syndrome.
Journal of clinical immunologyA Novel Variant of Adenosine Deaminase 2 Deficiency Presented With Chronic Thrombocytopenia, Anemia, and Early-Onset Stroke.
CureusVasculitic peripheral neuropathy in deficiency of adenosine deaminase 2.
Neuromuscular disorders : NMDEnzyme activity in dried blood spot as a diagnostic tool for adenosine deaminase 2 deficiency.
Analytical biochemistryThe role of vascular inflammation markers in deficiency of adenosine deaminase 2.
Seminars in arthritis and rheumatismDeficiency of Adenosine Deaminase 2 (DADA2): One Disease, Several Faces.
Indian journal of pediatricsComprehensive analysis of ADA2 genetic variants and estimation of carrier frequency driven by a function-based approach.
The Journal of allergy and clinical immunologyCase Report: An Adult Patient With Deficiency of Adenosine Deaminase 2 Resembled Unilateral Frosted Branch Angiitis.
Frontiers in medicineAnalysis of deficiency of adenosine deaminase 2 pathogenesis based on single-cell RNA sequencing of monocytes.
Journal of leukocyte biology[Corrigendum] Role of adenosine deaminase 2 gene variants in pediatric deficiency of adenosine deaminase 2: A structural biological approach.
Molecular medicine reportsValidation of the provisional seven-item criteria for the diagnosis of polyarteritis nodosa.
Rheumatology internationalSystematic review of childhood-onset polyarteritis nodosa and DADA2.
Seminars in arthritis and rheumatismSpectrum of Systemic Auto-Inflammatory Diseases in India: A Multi-Centric Experience.
Frontiers in immunologyExpanding spectrum of DADA2: a review of phenotypes, genetics, pathogenesis and treatment.
Clinical rheumatologyDiagnosis and management of adenosine deaminase 2 deficiency children: the experience from China.
Pediatric rheumatology online journalAdenosine Deaminase Type II Deficiency: Severe Chronic Neutropenia, Lymphoid Infiltration in Bone Marrow, and Inflammatory Features.
Immunological investigationsDeficiency of adenosine deaminase 2 diagnosed at 65 years of age.
Lancet (London, England)Adult-onset deficiency of adenosine deaminase 2-a case report and literature review.
Clinical rheumatologySystematic evaluation of nine monogenic autoinflammatory diseases reveals common and disease-specific correlations with allergy-associated features.
Annals of the rheumatic diseasesClinical features and outcomes of childhood polyarteritis nodosa: A single referral center experience.
Modern rheumatologyDetailed analysis of Japanese patients with adenosine deaminase 2 deficiency reveals characteristic elevation of type II interferon signature and STAT1 hyperactivation.
The Journal of allergy and clinical immunologyNovel ADA2 Compound Heterozygous Mutations Resulting in Deficiency of Adenosine Deaminase 2 in a Pair of Siblings.
Journal of clinical immunologyPolyarteritis Nodosa: A Systematic Review of Test Accuracy and Benefits and Harms of Common Treatments.
ACR open rheumatologyAnti-tumour necrosis factor treatment for the prevention of ischaemic events in patients with deficiency of adenosine deaminase 2 (DADA2).
Rheumatology (Oxford, England)Sequence-Based Screening of Patients With Idiopathic Polyarteritis Nodosa, Granulomatosis With Polyangiitis, and Microscopic Polyangiitis for Deleterious Genetic Variants in ADA2.
Arthritis & rheumatology (Hoboken, N.J.)Deficiency of Adenosine Deaminase 2 in Adults and Children: Experience From India.
Arthritis & rheumatology (Hoboken, N.J.)The Many Faces of a Monogenic Autoinflammatory Disease: Adenosine Deaminase 2 Deficiency.
Current rheumatology reportsDeficiency of Adenosine Deaminase 2 (DADA2) - A New Autoinflammatory Disease with Multisystem Features.
Indian pediatricsGrowth Parameters of Turkish Children With an Autoinflammatory Disease Before and After Canakinumab Treatment.
Indian pediatricsSuccessful treatment with cyclosporine and anti-tumour necrosis factor agent for deficiency of adenosine deaminase-2.
Scandinavian journal of rheumatologyDeficiency of Adenosine Deaminase 2 (DADA2): Hidden Variants, Reduced Penetrance, and Unusual Inheritance.
Journal of clinical immunologyTwo cases of ADA2 deficiency presenting as childhood polyarteritis nodosa: novel ADA2 variant, atypical CNS manifestations, and literature review.
Clinical rheumatology[Research progress in deficiency of adenosine deaminase 2].
Zhonghua er ke za zhi = Chinese journal of pediatrics[Treatment of deficiency of adenosine deaminase 2 caused by CECR1 mutation with myeloablative hematopoietic stem cell transplantation].
Zhonghua er ke za zhi = Chinese journal of pediatricsDeficiency of adenosine deaminase 2: Is it an elephant after all?
The Journal of allergy and clinical immunologyClinical and pathological dermatological features of deficiency of adenosine deaminase 2: A multicenter, retrospective, observational study.
Journal of the American Academy of DermatologyPolyarteritis nodosa and deficiency of adenosine deaminase 2 - Shared genealogy, generations apart.
Clinical immunology (Orlando, Fla.)Ischemic Stroke in Young Adults.
Continuum (Minneapolis, Minn.)Role of adenosine deaminase 2 gene variants in pediatric deficiency of adenosine deaminase 2: A structural biological approach.
Molecular medicine reportsGenotype and functional correlates of disease phenotype in deficiency of adenosine deaminase 2 (DADA2).
The Journal of allergy and clinical immunologyAtypical phenotype of an old disease or typical phenotype of a new disease: deficiency of adenosine deaminase 2.
The Turkish journal of pediatricsA monogenic autoinflammatory disease with fatal vasculitis: deficiency of adenosine deaminase 2.
Current opinion in rheumatologyThe same mutation in a family with adenosine deaminase 2 deficiency.
Rheumatology internationalA homozygote novel L451W mutation in CECR1 gene causes deficiency of adenosine deaminase 2 in a pediatric patient representing with chronic lymphoproliferation and cytopenia.
Pediatric hematology and oncologyDeficiency of adenosine deaminase 2: a case series revealing clinical manifestations, genotypes and treatment outcomes from Turkey.
Rheumatology (Oxford, England)Testicular ischemia in deficiency of adenosine deaminase 2 (DADA2).
Pediatric rheumatology online journalA Monogenic Disease with a Variety of Phenotypes: Deficiency of Adenosine Deaminase 2.
The Journal of rheumatologyDeficiency of adenosine deaminase 2 triggers adenosine-mediated NETosis and TNF production in patients with DADA2.
BloodIdentification of Novel Adenosine Deaminase 2 Gene Variants and Varied Clinical Phenotype in Pediatric Vasculitis.
Arthritis & rheumatology (Hoboken, N.J.)Treatment Strategies for Deficiency of Adenosine Deaminase 2.
The New England journal of medicineNovel ADA2 mutation presenting with neutropenia, lymphopenia and bone marrow failure in patients with deficiency in adenosine deaminase 2 (DADA2).
British journal of haematologyDiagnostic utility of a targeted next-generation sequencing gene panel in the clinical suspicion of systemic autoinflammatory diseases: a multi-center study.
Rheumatology internationalAdenosine Deaminase Two and Immunoglobulin M Accurately Differentiate Adult Sneddon's Syndrome of Unknown Cause.
Cerebrovascular diseases (Basel, Switzerland)A Chinese DADA2 patient: report of two novel mutations and successful HSCT.
ImmunogeneticsVasculitis in Systemic Autoinflammatory Diseases.
Frontiers in pediatricsWhat's new in autoinflammation?
Pediatric nephrology (Berlin, Germany)Vasculopathy, Immunodeficiency, and Bone Marrow Failure: The Intriguing Syndrome Caused by Deficiency of Adenosine Deaminase 2.
Frontiers in pediatricsRenal Amyloidosis in Deficiency of Adenosine Deaminase 2: Successful Experience With Canakinumab.
PediatricsNovel CECR1 gene mutations causing deficiency of adenosine deaminase 2, mimicking antiphospholipid syndrome.
Rheumatology (Oxford, England)A misleading case of deficiency of adenosine deaminase 2 (DADA2): the magnifying glass of the scientific knowledge drives the tailored medicine in real life.
Clinical and experimental rheumatologyADA2 Deficiency Mimicking Idiopathic Multicentric Castleman Disease.
PediatricsA retrospective study comparing the phenotype and outcomes of patients with polyarteritis nodosa between UK and Turkish cohorts.
Rheumatology internationalDeficiency of Adenosine Deaminase 2 in Adult Siblings: Many Years of a Misdiagnosed Disease With Severe Consequences.
Frontiers in immunologyDeficiency of Adenosine Deaminase 2 (DADA2): Updates on the Phenotype, Genetics, Pathogenesis, and Treatment.
Journal of clinical immunologyDisrupted N-linked glycosylation as a disease mechanism in deficiency of ADA2.
The Journal of allergy and clinical immunologyDeficiency of adenosine deaminase 2; special focus on central nervous system imaging.
Journal of neuroradiology = Journal de neuroradiologiePeriodic fever syndromes.
Best practice & research. Clinical rheumatologyA decision tree for the genetic diagnosis of deficiency of adenosine deaminase 2 (DADA2): a French reference centres experience.
European journal of human genetics : EJHGDiagnosis of deficiency of adenosine deaminase 2 with early onset polyarteritis nodosa in an adult patient with a novel compound heterozygous CECR1 mutation.
Clinical and experimental rheumatologyHematologic Manifestations of Deficiency of Adenosine Deaminase 2 (DADA2) and Response to Tumor Necrosis Factor Inhibition in DADA2-Associated Bone Marrow Failure.
Journal of clinical immunology[Multiple facets of ADA2 deficiency: Vasculitis, auto-inflammatory disease and immunodeficiency: A literature review of 135 cases from literature].
La Revue de medecine interneVasculitis and vasculitis-like manifestations in monogenic autoinflammatory syndromes.
Rheumatology internationalDeficiency of Adenosine Deaminase 2 (DADA2), an Inherited Cause of Polyarteritis Nodosa and a Mimic of Other Systemic Rheumatologic Disorders.
Current rheumatology reportsHematopoietic stem cell transplantation rescues the hematological, immunological, and vascular phenotype in DADA2.
BloodSuccessful reduced intensity hematopoietic cell transplant in a patient with deficiency of adenosine deaminase 2.
Bone marrow transplantationRecent advances in childhood vasculitis.
Current opinion in rheumatologyScreening of 181 Patients With Antibody Deficiency for Deficiency of Adenosine Deaminase 2 Sheds New Light on the Disease in Adulthood.
Arthritis & rheumatology (Hoboken, N.J.)Refractory Pure Red Cell Aplasia Manifesting as Deficiency of Adenosine Deaminase 2.
Journal of pediatric hematology/oncologyStroke as Initial Manifestation of Adenosine Deaminase 2 Deficiency.
NeuropediatricsMonogenic polyarteritis: the lesson of ADA2 deficiency.
Pediatric rheumatology online journalEarly-onset stroke, polyarteritis nodosa (PAN), and livedo racemosa.
Journal of the American Academy of DermatologyOld Dogs, New Tricks: Monogenic Autoinflammatory Disease Unleashed.
Annual review of genomics and human geneticsAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- ADA2-deficient cells exhibit increased levels of cell death and metabolic disturbances.
- Hematopoietic Stem Cell Transplantation in Rheumatic Diseases.
- Targeting cytokine pathways: the role of biologics in autoinflammatory disorders.
- Hepatic Vascular Involvement in Adenosine Deaminase 2 Deficiency (DADA2): Case Reports and Literature Review.
- The Natural History of Deficiency of Adenosine Deaminase 2 Vasculitis in a Large Cohort and Factors Associated With Disease-Related Damage.
- Deficiency of adenosine deaminase 2: Myriad faces in a single family.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:404553(Orphanet)
- OMIM OMIM:615688(OMIM)
- MONDO:0014306(MONDO)
- GARD:12383(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q55603216(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar