Table 1. Features of patients sharing the de novo missense CDC42 c.556C>T (p.R186C) mutation.
Pt 1 | Pt 2 | Pt 3 | Pt 4 | |
---|---|---|---|---|
Outcome and status | Alive, 6 yr | Dead, 6 mo | Dead, 1.5 yr | Dead, 4.5 mo |
Fever | + | + | + | + |
Skin rash | + | + | + | + |
Facial dysmorphism | − | − | − | − |
Failure to thrive | + | + | + | + |
Hepatomegaly | + | + | + | + |
Splenomegaly | + | + | + | − |
CNS inflammatory diseasea | + | − | − | − |
Gastrointestinal symptomsb | + | + | + | + |
Cardiac abnormalities | − | − | − | − |
HLHc | + | + | + | + |
Anemiad | + | + | + | + |
Thrombocytopeniad | + | + | + | + |
Neutropeniae | + | + | + | + |
Monocytopenia | + | + | N/A | N/A |
Acute-phase response | + | + | + | + |
BM dysplasia | + | + | + | + |
Other notable features | +f | − | − | +g |
CNS, central nervous system; N/A, not applicable.
Pt 1, three episodes at age 2 yr with generalized seizures and white and gray matter lesions in MRI; Pt 3, increased CSF protein and MRI with leptomeningitis.
Pt 1, diarrhea, intestinal bleeding at age 11 mo, and intestinal infarction at age 5 yr; Pt 2, chronic diarrhea; Pt 3, small intestine inflammation; Pt 4, severe, unremitting enterocolitis from birth and diarrhea with intestinal bleedings and infarctions.
Pt 1, four episodes; Pt 2, a single episode leading to death; Pt 3, died of secondary HLH after transplant; Pt 4, four episodes.
Pt 1, constant transfusion requirement until age 2 yr; Pt 2, intermittent transfusion requirement during flares; Pt 3, transfusion dependent; Pt 4, transfusion dependent.
Pt 1, Pt 2, and Pt 3, profound neutropenia; Pt 4, mild neutropenia.
Suspected trigonocephaly.
Very small thymus; arthritis.