Pediatric rheumatology

Clinical spectrum of and outcomes for Indian children with deficiency of adenosine deaminase 2 (DADA2): a multicentric study

Rheumatology (Oxford)Published Case series

Authors' conclusion

DADA-2 closely resembles PAN; early age of onset and CNS stroke are striking differentiating features from classic PAN. Most children respond well to anti-TNF agents without serious adverse events being observed during short-term follow-up.

Study context

Population
Indian children with deficiency of adenosine deaminase 2 (DADA2)11 females
Participants
16 children
Outcome
Clinical spectrum of DADA2
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Mean (SD) age at symptom onset, males
46.2 (47) months
Mean (SD) age at symptom onset, females
73.6 (50.4) months
Fever and rash
80%
CNS stroke
8 (53%)
Hypertension
5 (33%)
Anaemia
3 (20%)
Arthralgia/arthritis
4 (26%)

Observational data: associations, not effects.

Further findings

Treatment with immunomodulators

Steroids
13 (86%)
Anti-TNF agents
12 (80%)
CYC
2 (13%)
MMF
3 (20%)

Outcomes during follow-up · median (IQR) follow-up 17 (10, 29) months

Children achieving remission
14
Recurrent strokes after initiation of anti-TNF drugs
0

Original publication

Clinical spectrum of and outcomes for Indian children with deficiency of adenosine deaminase 2 (DADA2): a multicentric study. Rheumatology (Oxford). Published 11 September 2024. doi:10.1093/rheumatology/keae489

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