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. 2010 Feb 5;6(2):e1000833. doi: 10.1371/journal.pgen.1000833

Table 1. Comparison of clinical features of families with SLC29A3 mutations from this report and those reported with H syndrome and PHID syndrome.

Clinical diagnosis Faisalabad histiocytosis Familial SHML Familial Rosai Dorfman disease/Faisalabad histiocytosis H syndrome Pigmented hypertrichosis with insulin dependent diabetes mellitus syndrome
OMIM reference 602782 612391
Literature reference Moynihan et al (1998) Kismet et al (2005) Rossbach et al (2005) Mohlo-Pessach et al (2008) Cliffe et al (2009)
Inheritance Autosomal recessive Autosomal recessive Autosomal recessive Autosomal recessive Autosomal recessive
Number of kindreds and ethnic origin 1 (Pakistani) 1 (Turkish) 1 (Palestinian) 10 (9 Arab and one Bulgarian) 5 (1 North American Caucasian, 1 Indian, 1 Pakistani and 2 Lebanese)
Skin Hyper-pigmentation lower extremities Hyperpigmented and hypertrichotic patches Pigmented hypertrichotic skin lesions
Heart Small ASD (one case) PS, PDA
Ear Sensorineural deafness Sensorineural deafness Sensorineural deafness Sensorineural hearing loss No deafness
Abdomen Hepatomegaly Hepatosplenomegaly Hepatosplenomegaly
Growth Short stature Short stature Short stature Short stature Short stature
Endocrine Hypogonadism GynaeocomastiaHypogonadism Delayed puberty
Pancreas Occasional hyperglycaemia IDDM in >80% of casesSevere pancreatic exocrine deficiency (two cases)
Eyes Eyelid swellings due to histiocytic deposits Rapidly growing orbital mass with SHML histopathology Uveitis (1/2 cases) Exophthalmos with normal thyroid function
Hands Progressive contractures of the fingers Camptodactyly, flexion contractures of hands No abnormality
Feet Progressive contractures of toes Hallux valgus with fixed flexion contractures of toe joints
Haematological features Bone marrow : diverse cytoplasmic inclusions in phagocytes and reticulum cells. The bone marrow: non-clonal myeloproliferativeProcess. Numerous monocytes and histiocytes and moderate myelofibrosis. Red cell aplasia due to myelofibrosis in one patient
Lymph nodes Generalised lymphadenopathy Cervical, retropharyngeal and submandibular lymphadenopathy Cervical, submandibular and, bilateral inguinal lymphadenopathy Cervical, axillary and inguinal lymphadenopathy
Histopathology Lymph node and eyelid show reactive features with small reactive lymphoid follicles and histiocytes within hyperglycaemiadilated hyperglycaemiasinuses hyperglycaemiaresembling hyperglycaemiaRosai-Dorfman disease Lymph node: filling of lymph node sinuses with histiocytes, plasma cells and lymphocytes. Histiocytes had a benign appearance, were CD-1a negative but positive for CD68 and S-100. Lymph node: nodal capsular fibrosis and chronic inflammation, prominent sinus histiocytes. Skin lesions show polyclonal perivascular lymphohistiocytic infiltration with numerous plasma cells in the dermis and subcutis
Other Nasal mucosa swellingsContractures of the elbows and ankleProband: invasive ductal carcinoma grade 3 ER negative breast aged 43 years and carcinoma bladder (grade 3 papillary TCC) age 46 years Intra-uterine fracturesVentriculomegaly with communicating hydrocephalus and right lambdoid suture stenosis with subsequent plagiocephalyPectus carinatum
SLC29A3 mutations c.300+1G>A p.Gly437Argp.Phe103X p.Gly437Arg p.Gly427Serp.Gly437Argp.Leu349SerfsX56 p.Met116Arg; p.Tyr314ThrfsX91p.Gly437Arg; p.Glu444Xp.Thr449Arg

Clinical details were taken from published reports and unpublished updated information for the three families included in the present study. Previously unreported additional information is shown in bold. Mutation nomenclature used is based on reference sequence NM_018344.4. (Abbreviations: SHML = Sinus Histiocytosis with Massive Lymphadenopathy; IDDM = Insulin dependent diabetes mellitus; ASD = atrial septal defect; PS = Pulmonary stenosis; PDA = patent ductus areteriosis; TCC = transitional cell carcinoma).