Pediatric rheumatology

Monogenic interferon mediated diseases: novel phenotype and genotype characteristics from Saudi population

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Our findings support the previous reports; early-onset fever, neurology, and respiratory features should raise the suspicion of interferonopathies. However, there is eminent evidence of phenotypic variability. Our data also expanded the spectrum of clinical findings in relation to novel genetic variants.

Study context

Population
Saudi children with genetically confirmed type I interferonopathies11 females
Participants
20 children
Outcome
Genotype and phenotype findings
Methodological detailsdescriptive, Whole exome sequencing in 15 patients, targeted gene tests in 3, leukoencephalopathy genetic panel in 2
  • Descriptive
  • Whole exome sequencing in 15 patients, targeted gene tests in 3, leukoencephalopathy genetic panel in 2

Main finding

As reported in the abstract

Presented within the first 2 years
16 (80%)
Age of disease onset, median (IQR), years
0.87 (0.5-2)
Age of diagnosis, median (IQR), years
4.5 (2-7.5)
Consanguinity
88%
Family history of affected members
47%
Aicardi-Goutières syndrome (RNASEH2A, RNASEH2C, IFIH1 variants)
8
STING-associated vasculopathy with onset in infancy (TMEM173 variant)
2
Chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (PSMB8)
1
DNase II
1
Rare interferonopathy conditions (3 ISG15, 3 ZNFX1, 1 SOCS1, 1 STAT1)
8
Novel genetic variants, of 12 variants
6 (50%)
Fever
75%
Neurology
70%
Mucocutaneous
60%
Gastrointestinal
50%
Pulmonary
50%
Hypogammaglobinaemia
45%
Recurrent infections
20%
Elevated inflammatory markers
15 (75%)

Observational data: associations, not effects.

Original publication

Monogenic interferon mediated diseases: novel phenotype and genotype characteristics from Saudi population. Clin Exp Rheumatol. Published 4 January 2024. doi:10.55563/clinexprheumatol/aa6drm

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