Abstract

DNA repair disorders predispose the development of primary immunodeficiency and lymphoma. Epstein-Barr virus (EBV)-associated B-cell lymphomas and precursor T-cell lymphoblastic leukemia/lymphomas are described in ligase 4–deficient (LIG4) patients, presenting with variable T- and B-cell immunodeficiency, radiosensitivity, microcephaly, developmental delay, and cytopenias.1 We report on one of the first patients, 411BR, who carried a homozygous 833G>A/R278H mutation and 2 cooperating homozygous N-terminal single nucleotide polymorphisms.

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