ADA2 and Immunodeficiency: A relevant example of phenotypic heterogeneity is the deficiency of adenosine deaminase 2 (DADA2): originally reported as a small-vessel vasculitis manifesting with polyarteritis nodosa, livedo racemosa, stroke, and mild immunodeficiency, the phenotype has significantly expanded to include pure red cell aplasia, other cytopenias, lymphoproliferation, and lymphoma14–30.