The occurrence of selective IgA deficiency and hypothyroidism with congenital Iymphoedema has never previously been documented, although the association of hypogammaglobulinaemia with congenital Iymphoedema has previously been reported and can result in recurrent respiratory infections. We report a 34 year old woman with congenital Iymphoedema who was found to have symptomatic autoimmune hypothyroidism and asymptomatic selective IgA deficiency.
LozewiczSMorrisGGarbettNBrowseNSlavinBColeP. Acquired common variable hypogammaglobulinaemia and lymphoedema. Postgrad Med J1988; 64: 63–65.
2.
BarclayGRGallJMGillonJYapPL. Latex agglutination method for IgA deficiency used for large scale screening of blood donor sera. J Clin' Pathol1986; 39: 458–463.
3.
ChoudariCPO'MahonySBrydonGMwantembeOFergusonA. Gut lavage fluid protein concentrations: Objective measures of disease activity in inflammatory bowel disease. Gastroenterology1993; 104 (4): 1064–1071.
4.
MuckeJHoepffnerWScheerschmidtGGornigHBeyreissK. Early onset lymphoedema, recessive form — A new form of genetic lymphoedema syndrome. Eur J Pediatr1986: 145: 195–198.
5.
EmersonPA. Yellow nails, lymphoedema and pleural effusions. Thorax1966; 21: 247–253.
6.
EastwoodHDWilliamsTJ. Pleural effusions and yellow nails of late onset. Postgrad Med J1973; 49: 364–365.
7.
NakielnaEmWilsonJBallonHS. Yellow nail syndrome. Report of three cases. Can Med Assoc J1976; 115: 46–48.