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Reduced circulating CH50 activity

MedGen UID:
1380457
Concept ID:
C4476774
Finding
Synonyms: Decreased total hemolytic complement activity; Reduced CH50; Reduced circulating 50% hemolytic complement (CH50) activity; Reduced hemolytic complement activity
 
HPO: HP:0025434

Definition

A diminished activity of the classical complement pathway as measured by the assay for 50% haemolytic complement (CH50) activity of serum. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVReduced circulating CH50 activity

Conditions with this feature

Complement component 5 deficiency
MedGen UID:
91003
Concept ID:
C0343047
Disease or Syndrome
A rare genetic disorder with an autosomal recessive pattern of inheritance. It is caused by the ineffective or decreased biosynthesis of the fifth complement component, C5. C5 deficiency may also be acquired acutely post-infection. If C5 is adequately synthesized, its rapid depletion may result in a functional deficiency. Clinical signs of the inherited deficiency present within the second decade of life and are consistent with the signs of recurrent systemic infection. Deficiency of serum C5 and its major cleavage product, C5b, a component of the membrane attack complex, increases susceptibility to Neisserial infections.
Complement component 6 deficiency
MedGen UID:
436639
Concept ID:
C2676232
Disease or Syndrome
Any classic complement early component deficiency in which the cause of the disease is a mutation in the C6 gene.
Hereditary angioedema type 1
MedGen UID:
403466
Concept ID:
C2717906
Disease or Syndrome
A form of hereditary angioedema characterized by acute edema in subcutaneous tissues, viscera and/or the upper airway.
Complement component 4a deficiency
MedGen UID:
482272
Concept ID:
C3280642
Finding
Concentration of the complement component C4a in the blood circulation below the lower limit of normal.
C1Q deficiency 2
MedGen UID:
1841058
Concept ID:
C5830422
Disease or Syndrome
C1q deficiency (C1QD) is a rare autosomal recessive disorder characterized by recurrent skin lesions, chronic infections, and an increased risk of autoimmune diseases, particularly systemic lupus erythematosus (SLE; see 152700) or SLE-like diseases. It has also been associated with chronic glomerulonephritis and renal failure. C1q deficiency presents in 2 different forms, absent C1q protein or presence of a dysfunctional molecule (summary by Topaloglu et al., 1996 and Vassallo et al., 2007). For a discussion of genetic heterogeneity of C1q deficiency, see 613652.

Recent clinical studies

Etiology

Lazar HL, Keilani T, Fitzgerald CA, Shapira OM, Hunter CT, Shemin RJ, Marsh HC Jr, Ryan US; TP10 Cardiac Surgery Study Group
Circulation 2007 Sep 11;116(11 Suppl):I83-8. doi: 10.1161/CIRCULATIONAHA.106.677914. PMID: 17846331
Arinola OG
Afr J Med Med Sci 2005 Mar;34(1):9-13. PMID: 15971548
García-Calderón PA, Engel P, Cols N, Heredia García CD
Ophthalmic Paediatr Genet 1984 Dec;4(3):199-202. doi: 10.3109/13816818409006122. PMID: 6545398
Heredia CD, Huguet J, Cols N, Engel P, García-Calderón PA
Br J Ophthalmol 1984 Nov;68(11):811-4. doi: 10.1136/bjo.68.11.811. PMID: 6333894Free PMC Article
Morito T, Tanimoto K, Hashimoto Y, Horiuchi Y, Juji T
Ann Rheum Dis 1975 Oct;35(5):415-21. doi: 10.1136/ard.35.5.415. PMID: 1086653Free PMC Article

Diagnosis

Hällgren R
Immunology 1979 Nov;38(3):529-37. PMID: 118112Free PMC Article
Morito T, Tanimoto K, Hashimoto Y, Horiuchi Y, Juji T
Ann Rheum Dis 1975 Oct;35(5):415-21. doi: 10.1136/ard.35.5.415. PMID: 1086653Free PMC Article

Therapy

Basile L, Passirani C, Huynh NT, Béjaud J, Benoit JP, Puglisi G, Pignatello R
Int J Pharm 2012 Apr 15;426(1-2):231-238. Epub 2012 Jan 24 doi: 10.1016/j.ijpharm.2012.01.038. PMID: 22306040
Lazar HL, Keilani T, Fitzgerald CA, Shapira OM, Hunter CT, Shemin RJ, Marsh HC Jr, Ryan US; TP10 Cardiac Surgery Study Group
Circulation 2007 Sep 11;116(11 Suppl):I83-8. doi: 10.1161/CIRCULATIONAHA.106.677914. PMID: 17846331
Daane CR, Golab HD, Meeder JH, Wijers MJ, Bogers AJ
Perfusion 2003 Apr;18(2):115-21. doi: 10.1191/0267659103pf647oa. PMID: 12868789
Davies KA, Hird V, Stewart S, Sivolapenko GB, Jose P, Epenetos AA, Walport MJ
J Immunol 1990 Jun 15;144(12):4613-20. PMID: 2141040
Lin CY, Hsu HC, Chiang H
Nephron 1989;53(4):303-10. doi: 10.1159/000185772. PMID: 2481240

Prognosis

Lin CY, Hsu HC, Chiang H
Nephron 1989;53(4):303-10. doi: 10.1159/000185772. PMID: 2481240
Perez HD, Horn JK, Ong R, Goldstein IM
J Lab Clin Med 1983 Jan;101(1):123-9. PMID: 6848611

Clinical prediction guides

Fichtner ML, Hoarty MD, Vadysirisack DD, Munro-Sheldon B, Nowak RJ, O'Connor KC
PLoS One 2022;17(3):e0264489. Epub 2022 Mar 15 doi: 10.1371/journal.pone.0264489. PMID: 35290370Free PMC Article
Arinola OG
Afr J Med Med Sci 2005 Mar;34(1):9-13. PMID: 15971548
Davies KA, Hird V, Stewart S, Sivolapenko GB, Jose P, Epenetos AA, Walport MJ
J Immunol 1990 Jun 15;144(12):4613-20. PMID: 2141040
Perez HD, Horn JK, Ong R, Goldstein IM
J Lab Clin Med 1983 Jan;101(1):123-9. PMID: 6848611

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