Isolated congenital asplenia (ICA)
The spleen is involved in the immune response to pneumococcal infections. Splenic phagocytes play an important role in removal of complement opsonised pneumococci from the blood, a process which is enhanced by the presence of specific antibody against the polysaccharide capsule of the organism. These immunological observations are supported by clinical experience in which deficiency of specific antibody or hyposplenism led to an increase in the risk of pneumococcal disease.
Isolated congenital asplenia (ICA) is a rare form of primary immunodeficiency, which is characterized by the absence of a spleen at birth in individuals with no other developmental defects. Most affected individuals die of severe bacterial infections in early childhood, others are prone to life-threatening bacterial infections. Isolated asplenia is distinct from asplenia associated with other complex visceral defects, notably heterotaxy syndromes such as Ivemark syndrome.
