Pediatric rheumatology

New insights on genetic variants and phenotypic features of childhood large-vessel vasculopathy: a systematic review and single-centre series

Clin Exp RheumatolPublished Systematic review and single-centre retrospective case series

Authors' conclusion

This study demonstrates that a variety of inherited disorders may contribute to childhood LVV.

Study context

Population
Children with large-vessel vasculopathy (LVV) seen January 2000–September 2022 at a single institution, plus previously published casesplus 20 published cases
Participants
11 children
Comparison
Childhood LVV with genetic variants vs sporadic childhood LVV
  • Genetic variantsn = 5
  • Sporadicn = 6reference
Outcome
Phenotype, treatment and outcomes of childhood LVV with genetic variants (single-centre series)
Follow-up
Last

Pooled result

As reported in the abstract

Genetic variants treated with corticosteroids
5
Required sequential immunosuppressive drugs
3
Surgical intervention
4
Haematopoietic stem-cell transplant (HSCT)
1
Clinical remission
3
Died
2

Further pooled results

Systematic review of published cases

Published cases
20
All had inherited disorders; genetically proven diagnosis
14
HSCT
2
Deaths
4
Most treated with corticosteroids and immunosuppressive drugs, with partial responses

Original publication

New insights on genetic variants and phenotypic features of childhood large-vessel vasculopathy: a systematic review and single-centre series. Clin Exp Rheumatol. Published 9 March 2023. doi:10.55563/clinexprheumatol/je8rq2

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