Table 1.
Subject | Sex | Ethnicity | Nevi type | Mutation [1], Lim et al. JAAD | Age of rachitic onset (years ) | Pathologic fractures | Scoliosis | Other skeletal defomrities | Laterality of skin vs. bone lesions | Response to oral phosphate and calcitriol | Spontaneous improvement of mineral alterations | Extra-osseous/ extra-cutaneous manifestations |
---|---|---|---|---|---|---|---|---|---|---|---|---|
CSHS101 | F | Caucasian | EN | NRAS Q61R | 2 | Yes | No | Windswept deformity in lower extremities | Unilateral nevi; ipsilateral skeletal dysplasia | Healed rickets | No (f/u until age 9) | Brainstem lipoma; thyroid nodule; splenic hemangiomas |
CSHS102 | F | Caucasian | EN | HRAS G13R | 1.5 | Yes | Yes | Coxa vara; lower extremities bowing and deformities secondary to fractures | Unilateral nevi; ipsilateral skeletal dysplasia | Limited effect during childhood; improved labs and ↓ fracture in adolescence | Yes. Decrease of fracture rate, age 12 (f/u until age 14) | Subaortic valve stenosis |
CSHS104 | F | African American | CMN | NRAS Q61R | 1.3 | Yes | No | Upper and lower extremity bowing | Bilateral nevi; bilateral skeletal dysplasia | Initiation of ambulation; Improved labs | No (deceased at age 4 due to pericardial effusion) | CNS melanosis; ocular dermoid Pericardial effusion |
CSHS105 | M | Caucasian | EN | HRAS G13R | 12 | Yes | Yes | Pronounced leg length discrepancy | Unilateral nevi; bilateral skeletal dysplasia | ↓ pain ↓ weakness | Yes. Resolution of mineral abnormalities at age 17 (f/u until age 19) | Colpocephaly body asymmetry |
CSHS106 | F | Hispanic | PPK | HRAS G13R | 5 | Yes | Yes | Bowing of lower extremities; leg length discrepancy | Bilateral nevi; bilateral skeletal dysplasia | Improved labs | No (f/u until age 14) | Body asymmetry |
F female, M male, EN epidemral nevus, CMN congenital nrelanocytic nevus, PPK phakonratosis pignrentokeratotica, f/u follow-up, CNS central nervous system