AUTHOR=van der Burg Mirjam , Mahlaoui Nizar , Gaspar Hubert Bobby , Pai Sung-Yun TITLE=Universal Newborn Screening for Severe Combined Immunodeficiency (SCID) JOURNAL=Frontiers in Pediatrics VOLUME=7 YEAR=2019 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2019.00373 DOI=10.3389/fped.2019.00373 ISSN=2296-2360 ABSTRACT=

Patients with severe combined immunodeficiency (SCID) are born with profound deficiency of functional T-lymphocytes. Early detection and diagnosis would allow for prompt institution of isolation from infection and referral for definitive treatment with allogeneic hematopoietic stem cell transplantation. Universal newborn screening for SCID, using an assay to detect T-cell receptor excision circles (TREC) in dried blood spots (DBS), is now being performed in all states in the United States. In this review, we discuss the development and outcomes of TREC screening, and continued challenges to implementation.