Brittany Hudson, 16 years of age, was seen by her physician after the development of a small pustule around her nostrils that had expanded and was now showing signs of ulceration typical of chronic granulomatous inflammation. In the previous year, Brittany had experienced a similar lesion on her left thigh that healed slowly, leaving a hyperpigmented scar. She also had a history of chronic bacterial infections of the upper and lower respiratory tract. Flow-cytometric analysis of peripheral blood revealed abnormally low numbers of MHC class I molecules on cell surfaces and abnormally low numbers of CD8 T cells. A diagnosis of type I bare lymphocyte syndrome was made. A deficiency in which of the following would explain this etiology? a. HLA-DM b. invariant chain c. class II-associated invariant chain peptide (CLIP) d. TAP-1 or TAP-2 e. MHC class II transactivator (CIITA).

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Brittany Hudson, 16 years of age, was seen by her physician after the development of a small pustule around her nostrils that had expanded and was now showing signs of ulceration typical of chronic granulomatous inflammation. In the previous year, Brittany had experienced a similar lesion on her left thigh that healed slowly, leaving a hyperpigmented scar. She also had a history of chronic bacterial infections of the upper and lower respiratory tract. Flow-cytometric analysis of peripheral blood revealed abnormally low numbers of MHC class I molecules on cell surfaces and abnormally low numbers of CD8 T cells. A diagnosis of type I bare lymphocyte syndrome was made. A deficiency in which of the following would explain this etiology?
a. HLA-DM
b. invariant chain
c. class II-associated invariant chain peptide (CLIP)
d. TAP-1 or TAP-2
e. MHC class II transactivator (CIITA).
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