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CASE BASED REVIEW
Year : 2021  |  Volume : 16  |  Issue : 4  |  Page : 456-459

Deficiency of adenosine deaminase 2 in an elderly female with multiple intestinal ulcers and hemorrhagic stroke


1 Department of Nephrology, Command Hospital Air Force, Bengaluru, Karnataka, India
2 Department of Rheumatology, Command Hospital Air Force, Bengaluru, Karnataka, India
3 Department of Internal Medicine, Command Hospital Air Force, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Vijoy Kumar Jha
Department of Nephrology, Command Hospital Air Force, Post- Agram, Old Airport Road, Bengaluru - 560 007, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/injr.injr_356_20

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Deficiency of adenosine deaminase 2 (DADA2) is a recently identified monogenic systemic inflammatory vasculopathy with variable clinical phenotype. The majority of reported patients are in pediatric age group. In this case report, we present a case of DADA2 in an elderly female, who presented initially with multiple episodes of loose motions with bleeding per rectum and was diagnosed endoscopically as multiple rectal hemorrhagic ulcers. During her hospital stay, she had generalized tonic-clonic seizures and was detected to have a hemorrhagic stroke. The patient was managed with steroids, cyclophosphamide, and other supportive measures. She had excellent recovery with the disease in remission on low-dose steroids and mycophenolate mofetil.


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