Publications by authors named "D Kumararatne"

Primary or secondary hypogammaglobulinemia is associated with persistent norovirus and infections despite immunoglobulin replacement therapy. Allogeneic hematopoietic cell transplantation for hematologic indications can lead to immune reconstitution by correcting a previously undiagnosed concurrent primary immunodeficiency.

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•Recalcitrant warts affect immunocompetent and immunocompromised persons.•The optimal approach to refractory warts remains unclear.•Human papillomavirus vaccination is a promising therapy for recalcitrant warts.

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Background: Antibody deficiencies result from reduced immunoglobulin levels and function, increasing susceptibility to, primarily, bacterial infection. Primary antibody deficiencies comprise intrinsic defects in B-cell physiology, often due to inherited errors. Hematological malignancies or B-cell suppressive therapy are major causes of secondary antibody deficiency.

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Article Synopsis
  • Inborn errors of immunity (IEI) are mostly genetic conditions, and this study focuses on their prevalence and characteristics in Sri Lanka, where data is limited.
  • It analyzed 206 patients diagnosed with IEI between 2010 and 2022, finding that most cases occurred in children under 12 and highlighting a predominance of male patients.
  • The study revealed high mortality rates, especially among patients with severe combined immune deficiency and suggests a need for better clinician education on IEI and improved transplant services in the country.
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Tumor necrosis factor receptor-associated factor 3 (TRAF3) is a central regulator of immunity. TRAF3 is often somatically mutated in B cell malignancies, but its role in human immunity is not defined. Here, in five unrelated families, we describe an immune dysregulation syndrome of recurrent bacterial infections, autoimmunity, systemic inflammation, B cell lymphoproliferation, and hypergammaglobulinemia.

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