need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 24 Answers

nbme24/Block 4/Question#15 (reveal difficulty score)
A 15-month-old boy is brought to the ...
Migration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: Immuno

 Login (or register) to see more


 +15  upvote downvote
submitted by โˆ—neonem(629)
get full access to all contentpick a username

Lack of CD18 (LFA-1 integrin) on phagocytes is the cause of leukocyte adhesion deficiency type 1 (LAD1). Since phagocytes like neutrophils and macrophages can't get out of the bloodstream, they are stuck in the blood, hence the leukocytosis with WBC count > 10,000. Since the leukocytes are stuck in the blood, they can't mount an effective immune response against bacteria.

get full access to all contentpick a username
sunshinesweetheart  also for completeness, LFA-1 is an integrin that binds ICAM, so LAD1 results from a defect in tight binding +3
avicenna  FA 2019 - PG 117 +
fatboyslim  Also to add, they have recurrent BACTERIAL infections but not viral infections because neutrophils don't play a vital role in fighting viral infections, lymphocytes do. +
namesthegame22  Delayed separation of the umbilical cord is common. +



Must-See Comments from nbme24

seagull on Intestinal mucosa
tissue creep on Ask the roommate not to smoke in the apartment
drdoom on Adenosine
seagull on Increased serum testosterone concentration
atstillisafraud on Lamins
niboonsh on Only cookies are independently associated ...
atstillisafraud on Scar formation
lamhtu on Decreased adherence
drachenx on Damage to the rectovaginal septum
drdoom on Intestinal mucosa
azibird on Coronavirus
lsmarshall on Organic acid metabolism disorder
sympathetikey on Inhalant abuse
tea-cats-biscuits on Eosinophils

search for anything NEW!