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. Author manuscript; available in PMC: 2014 Jul 1.
Published in final edited form as: J Am Acad Dermatol. 2013 Jul;69(1):e29–e32. doi: 10.1016/j.jaad.2013.01.015

Table.

Summary of Clinical Presentations and Laboratory Findings of PRAAS

Our patient CANDLE syndrome (n = 9) NNS (n = 7) JASL (n = 3) JMP (n = 3)
Clinical presentations

Age of onset 3m Early infancy Infancy 1M or 3 Y N/A
Recurrent fever Yes Yes Yes Yes No
Arthritis Yes Yes Yes Yes Yes
Skin eruptions Erythematous nodules Annular plaques Violacious eyelid Heliotrope-like periorbital rash in 4/7 patients Nodular erythema in all 7 patiens Nodular erythema Erythematous maculopapular and nodules
Low weight and height Yes 7/9 1/7 ND
Low IQ Yes ND 1/7 1/3 Yes
Seizures No ND ND ND Yes
Macroglossia No ND ND Yes Yes
Anemia Yes 8/9 6/7 ND ND
WBC Low nl range Mild leukocytosis at early age and leukopenia later ND ND ND

Inflammatory disease and autoimmunity

Autoantibodies ↑↑ANA & ANCA c-ANCA and ANA in 3/9 (two converted to normal) ANCA, dsDNA and SS-A in 5/7 Undetectable nl
Elevated ESR/CRP Yes Yes Yes Yes Yes
Elevated CPK Yes ND 4/7 Normal ND
Cytokine levels ↑↑ IL-6, nl TNFα, IL-1β, IP-10↑ ↑ IL-6 and IP-10 in 3/9 ↑↑ IL-6& IP-10, nl IFNγ. ↑ IL-6 ↑ IFNγ, ↑ IL-6, ↑ IL-8
Hyper-γ-globulinemia ↑↑ IgE & G; nl IgA &D Normal 7/7 ↑↑ IgA & G 3/3 ND

Organs involved

Lipodystrophy Yes Yes Yes Yes Yes
Hepatomegaly Yes 7/9 6/7 Yes Yes
Splenomegaly Yes 3/9
Cardiac disease No ND ND 2/3 ND
Hypertension No 2/9 ND No ND
Myositis/muscle atrophy Yes Yes Yes Yes Yes
Elevated LFTs Yes 8/9 ND ND Yes
Dyslipidemia No 6/9 4/7 No Yes
Elevated TSH Yes 2/9 ND ND ND
Basal ganglia calcification Yes 2/6 6/7 2/3 3/3

Nl, normal; ND, not described