Table.
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