Pediatric rheumatology

Protein Kinase Cδ deficiency in Arab children: A link to fatal monogenic lupus and BCGitis susceptibility

LupusPublished Retrospective case series

Authors' conclusion

Our findings demonstrate that PRKCD deficiency is associated with autosomal recessive monogenic lupus, characterized by severe and potentially fatal outcomes. They also confirm the link with BCGitis susceptibility.

Study context

Population
Arab children with monogenic lupus and PRKCD deficiency from three unrelated consanguineous families, Saudi Arabia and Oman3 unrelated consanguineous families
Participants
7 children
Outcome
Phenotypic, genetic and outcome profiles
Methodological detailstwo institutions (Saudi Arabia and Oman), genetically confirmed and clinically suspected cases
  • Two institutions (Saudi Arabia and Oman)
  • Genetically confirmed and clinically suspected cases

Main finding

As reported in the abstract

Confirmed PRKCD variants
four
Presented before age 2 years with fever and multi-organ involvement
All
BCGitis
three
High ANA, ds-DNA and APL
All
Reduced C1q and CH50
four
Received biologic agents
five
Low disease activity on intensive treatment
four
Died (severe disease and serious infections)
three

Observational data: associations, not effects.

Original publication

Protein Kinase Cδ deficiency in Arab children: A link to fatal monogenic lupus and BCGitis susceptibility. Lupus. Published 31 October 2025. doi:10.1177/09612033251390628

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