Table 3.

Potential predispositions and etiologies of immune thrombocytopenic purpura (ITP).

Predispositions
1. hypogammaglobulinemia: combined variable immunodeficiency (CVI), severe combined immunodeficiency disease (SCID), IgA and IgG2 deficiency, but not x-linked agammaglobulinemia (XLA) 
2. deficiency of classical pathway of complement components, C4, C2 
3. ? certain HLA types, e.g. B8DR3 
4. abnormalities of CD95 (Fas pathway) 
5. ? other failure of autoimmune lymphocytes 
6. ? certain Fc receptor polymorphisms 
Predispositions
1. hypogammaglobulinemia: combined variable immunodeficiency (CVI), severe combined immunodeficiency disease (SCID), IgA and IgG2 deficiency, but not x-linked agammaglobulinemia (XLA) 
2. deficiency of classical pathway of complement components, C4, C2 
3. ? certain HLA types, e.g. B8DR3 
4. abnormalities of CD95 (Fas pathway) 
5. ? other failure of autoimmune lymphocytes 
6. ? certain Fc receptor polymorphisms 
Etiologies
1. Persistent antigen exposure 
2. ? selection of certain heavy chain genes in antibody production 
3. unknown tendency to develop autoimmunity: systemic lupus erythematosus (SLE), Evans syndrome 
4. abnormal antigen presentation, e.g. in lymphoproliferative states such as chronic lymphocytic leukemia (CLL) 
5. persistent infections: see Table 4  
Etiologies
1. Persistent antigen exposure 
2. ? selection of certain heavy chain genes in antibody production 
3. unknown tendency to develop autoimmunity: systemic lupus erythematosus (SLE), Evans syndrome 
4. abnormal antigen presentation, e.g. in lymphoproliferative states such as chronic lymphocytic leukemia (CLL) 
5. persistent infections: see Table 4  

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