Pediatric rheumatology

Children With Type I Interferonopathy: Commonalities and Diversities in a Large Patient Cohort

J RheumatolPublished Retrospective cohort study

Authors' conclusion

For the first time, we evaluated the predictors of poor outcomes in patients with type I interferonopathy with a broad spectrum of subtypes.

Study context

Population
Children with genetically confirmed type I interferonopathies, follow-up > 1 year52.5% female
Participants
40 children
Outcome
Clinical features, laboratory and screening results, treatment options and outcomes of type I interferonopathy
Methodological detailsunivariate and multivariate logistic regression, Data obtained retrospectively from medical records
  • Univariate and multivariate logistic regression
  • Data obtained retrospectively from medical records

Main finding

As reported in the abstract

Median age at disease onset (range 0.1-13.2 yrs)
1.5 years
Mean age at diagnosis (SD 4.6)
6.8 years
Aicardi-Goutières syndrome, most common diagnosis
n = 15, 37.5%
Central nervous system, most frequently affected system
n = 27, 67.5%
JAKi administered
17 (42.5%)
Poor outcome (≥1 permanent morbidity or death during follow-up)
25 (62.5%)

Observational data: associations, not effects.

Further findings

Predictors of poor outcome: Intracranial calcification (ICC) on MRI at admission (multivariate logistic regression)

aOR (95% CI)P value
ICC on MRI at admission19.69 (1.08–359.05)P = 0.04
Younger age at onset, ICC, lack of chilblains and elevated acute-phase reactants significant in univariate analysis; only ICC significant in multivariate analysis

Original publication

Children With Type I Interferonopathy: Commonalities and Diversities in a Large Patient Cohort. J Rheumatol. Published 1 August 2024. doi:10.3899/jrheum.2024-0294

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