TABLE 1.
Cohort demographics and clinical features ‘+’ = sign is present, ‘-‘ = sign is absent, U = data unknown.
Individual | P1 | P2 | P3 | P4 | P5 | P6 | P7 | P8 | P9 | P10 | P11 | P12 | P13 | P14 | P15 | P16 | P17 | P18 | P19 | P20 | P21 | Total |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gender | F | M | F | F | F | M | F | F | F | M | F | F | F | F | F | F | F | M | F | M | F | M = 5 (24%) |
F = 16 (76%) | ||||||||||||||||||||||
Age at molecular diagnosis | 33 | 69 | 73 | 69 | 60 | 21 | 40 | 45 | 59 | 34 | 41 | 30 | 39 | 45 | 24 | 75 | 28 | 35 | 33 | 29 | 26 | |
Gene | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R | na | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R | C1R = 20 (95% |
Variant | c. (1273 + 1_1274-1)_(1348 + 1_1349-1)del | c.707T>C | c.689T>C | c.689T>C | c. (1273 + 1_1274-1)_(1348 + 1_1349-1)del | c.1073G>A | c.689T>C | c.689T>C | c.702_711delinsT | c.702_711delinsT | c.926G>A | na | c.869A>G | c.149_150 TC>AT | c.149_150 TC>AT | c.1339T>C | c.628T>G | c.1113C>G | c.1113C>G | c.1073G>T | c.1073G>T | |
Protein | exon 10 deletion | p. (Phe236Ser) | p. (Leu230Pro) | p. (Leu230Pro) | exon 10 deletion | p. (Cys358Tyr) | p. (Leu230Pro) | p. (Leu230Pro) | p. (Lys235_Leu237del) | p. (Lys235_Leu237del) | p. (Cys309Tyr) | na | p. (Asp290Gly) | p. (Val50Asp) | p. (Val50Asp) | p. (Cys447Arg) | p. (Tyr210Asp) | p. (Cys371Trp) | p. (Cys371Trp) | p. (Cys358Phe) | p. (Cys358Phe) | |
Dental | ||||||||||||||||||||||
Periodonititis | + | + | + | + | + | + | + | + | U | + | U | U | + | + | + | + | + | + | + | + | + | 18 (86%) |
Lack of attached gingiva | + | + | + | + | + | + | + | + | U | + | U | U | + | + | + | + | + | + | + | + | + | 18 (86%) |
Dermatological features | ||||||||||||||||||||||
Thin skin | + | + | + | + | + | + | - | - | U | - | + | U | + | - | - | + | - | + | + | + | + | 13 (62%) |
Hyperextensibiliy | - | - | - | - | - | - | - | - | + | - | - | U | - | - | - | U | - | + | - | + | + | 4 (19%) |
Fragility | - | + | + | + | + | + | + | + | + | + | U | U | + | - | - | + | - | + | + | + | + | 15 (71%) |
Easy bruising | + | + | + | + | + | + | + | + | + | + | + | U | + | + | + | + | - | + | + | + | + | 19 (90%) |
Long term bruising | - | + | + | + | + | + | U | + | U | + | U | U | - | - | - | U | - | + | + | + | + | 11 (52%) |
Pretibial discolouration | - | + | + | + | + | + | + | + | + | + | + | + | + | - | - | + | - | + | + | + | + | 17 (81%) |
Symmetrical discolouration | - | + | + | + | + | + | + | + plus pigment on right calf | + | + | + | + | + plus pigment on right calf | - | - | + | - | + | + | + | + | 17 (81%) |
Abnormal scarring | + atrophic | - | + widened | + atrophic | - | + atrophic | - | - | U | + widened | - | U | + atrophic | - | - | + widened | - | - | + atrophic | - | + atrophic | 9 (43%) |
Thread veins | + | + | + | + | - | - | - | - | + | - | U | U | - | - | - | - | - | - | + | - | - | 6 (29%) |
Musculoskeletal | ||||||||||||||||||||||
Beighton score | 2/9 | 0/8 | 0/9 | 0/8 | 1/9 | 7/9 | 4/9 | 0/8 | 5/9 | 0/8 | U | U | 2/9 | 1/9 | 1/9 | 0/9 | 6/9 | 0/9 | 3/9 | 8/9 | 9/9 | 5 (24%) |
Joint pain, age (yrs) | + | - | + | - | + | - | + | + | + | + | U | U | + | - | - | - | + | + | - | + | - | 11 (52%) |
10 | 40 | 10 | 20 | 18 | 18 | 33 | 29 | |||||||||||||||
Dislocation/subluxations | - | + | - | - | - | - | + | - | - | U | U | U | - | - | - | + | - | + | - | - | - | 4 (19%) |
Spinal abnormalities | + | - | - | + | U | + | - | - | U | - | U | U | - | - | - | - | - | - | - | - | - | 3 (14%) |
Foot abnormality | - | - | + | + | - | U | + | - | + | + | U | U | - | - | - | + | + | - | + | - | - | 8 (38%) |
Ear, nose and throat | ||||||||||||||||||||||
Voice changes (age of onset in years) | - | +55 | - | - | - | +19 | - | - | - | - | U | U | +20 | + U | - | + U | - | +19 | - | +14 | + U | 8 (38%) |
Management | tracheal resection | surgical correction | antibiotics | speech and language therapy | Surgical correction | |||||||||||||||||
Complications | mid anastomotic stricture treated via laser bronchoscopy | Surgical resection of scar tissue with local steroid injections | ||||||||||||||||||||
Central nervous system | ||||||||||||||||||||||
Leukodystrophy (age at scan in years) | U | U | U | +64 | U | U | +41 | +46 | U | U | U | +30 | U | U | U | U | - 30 | +38 | +36 | +33 | +30 | 8/9 (89%) |
Psychological symptoms | + | - | + | - | + | + | + | + | - | + | - | - | - | - | - | - | - | + | + | + | - | 10 (48%) |
Tremor | - | + | - | - | - | - | + | - | - | U | - | - | - | - | - | - | - | + | - | - | - | 3 (14%) |
Loss of concentration | - | - | - | - | U | - | + | - | + | U | U | U | - | - | - | - | - | + | - | + | + | 5 (24%) |
Diplopia | - | - | - | + | - | - | - | - | - | - | U | U | - | - | - | - | - | - | - | - | - | 1 (5%) |
Loss of speech | - | - | - | - | - | - | - | - | - | - | U | U | - | - | - | - | - | - | - | - | - | 0 |
Spasticity | - | - | - | - | - | - | - | - | - | - | U | U | - | - | - | - | - | - | - | - | - | 0 |
Memory loss | - | - | - | - | - | U | - | + | + | U | U | U | + | - | - | - | - | - | - | + | - | 4 (19%) |
Headache | + | - | - | + | - | U | + | + | U | U | U | U | - | - | - | + | - | + | + | + | + | 9 (43%) |
Migraine | - | - | - | - | - | - | + | + | U | U | U | U | - | - | - | + | - | + | - | + | + | 6 (29%) |
Incontinence | + | - | - | - | - | - | + | - | - | U | U | U | U | - | - | U | - | - | - | - | - | 2 (10%) |
Back pain | + | - | - | - | + | - | + | + | + | + | U | U | U | - | - | + | - | + | - | + | - | 9 (43%) |