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. 2019 Oct 10;216(12):2778–2799. doi: 10.1084/jem.20190147

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.

a

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.

b

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.

c

Pt 1, four episodes; Pt 2, a single episode leading to death; Pt 3, died of secondary HLH after transplant; Pt 4, four episodes.

d

Pt 1, constant transfusion requirement until age 2 yr; Pt 2, intermittent transfusion requirement during flares; Pt 3, transfusion dependent; Pt 4, transfusion dependent.

e

Pt 1, Pt 2, and Pt 3, profound neutropenia; Pt 4, mild neutropenia.

f

Suspected trigonocephaly.

g

Very small thymus; arthritis.