Table 1. Presenting features and current status in four patients with haemophagocytic lymphohistiocytosis (HLH) and biallelic STXBP2 gene mutations.
UPN | 113 | 388 | 392 | 408 |
Consanguinity | + | + | + | Not known |
Ethnic origin | Caucasian, Italy | Pakistani | Kuwaiti | Caucasian, UK |
Mutation | p.Glu132Ala c.395A>C | p.Arg405Gln c.1214G>A | p.Pro477Leu c.1430C>T | p.Gly541Ser c.1621G>A |
Sex | M | F | F | F |
Age at diagnosis | 4 years | 4.5 months | 7 months | 7 months |
Fever | + | + | + | + |
Splenomegaly | + | + | + | + |
Haemoglobin (<9 g/dl) | 8.0 | 5.7 | 9.1 | 6.2 |
Platelets(<100000/mm3) | 23 | 38 | 60 | 11 |
Neutrophils (<1000/mm3) | Normal | 2.05 | 0.84 | 0.4 |
Triglycerides (>265 mg/dl) | Normal | 823 | 495 | 600 |
Fibrinogen (<150 mg/dl) | 75 | 90 | Normal | 110 |
Haemophagocytosis | + | + | + | + |
CNS symptoms | + | no | no | no |
CSF pleocytosis(<5/mm3) | 22 | no | no | ND |
Degranulation assay | ND | ND | ND | Abnormal* |
BMT, donor | NP | MUD | MSD | MUD |
Present status | Deceased of disease at 4.7 years | Deceased 2 years, 8 months, enteropathy post HSCT | Alive 3 years 6 months | Alive 2 years, 8 months |
ND, Not determined; NP, Not performed.
CNS, central nervous system; CSF, cerebrospinal fluid; HSCT, haematopoietic stem cell transplantation; MSD: matched sibling donor; MUD, matched unrelated donor.
Items in bold are comprised among diagnostic criteria for HLH.12
See text for details.