Table 1.
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Age of patient | 13 years | 5 years | 7 years |
Mutation/amino acid change | c.5741G>A, p.Arg1914His; ex. 35-47 del. |
c.5741G>A, p.Arg1914His; ex. 35-47 del. |
c.5741G>A, p.Arg1914His; c.1628_1629insA, p.Ser544fs |
Age at onset of disease (month) | Birth | 6 months | Birth |
Acute liver disease episodes with elevated transaminases (during each febrile episode) | Once | Recurring | Recurring |
Recurrent acute liver failure (fever-related RALF) | – | – | + |
Recurrent bacterial/viral infections | Recurrent bronchitis, several episodes of pneumonia | Pharyngitis, multiple pneumonias and two episodes of infectious gastroenteritis | Multiple pneumonias, pyelonephritis |
Optic nerve atrophy | Partial | Partial | Partial |
Other symptoms | Intellectual delay, diabetes mellitus type 2 | Intellectual delay | Pachygyria, epilepsy, feeding difficulty, severe developmental deficiency |
Skeletal findings | |||
Osteogenesis imperfecta, bone fractures | + (Multiple bone fractures) | + (Forearm, femur fractures) | + (Multiple bone fractures) |
Bone anomalies (short stature, facial dysmorphism) | + | + | + |
Hematological findings | |||
Pelger–Huët anomaly of granulocytes | + | + | + |
Immune thrombocytopenia | – | – | + |
(+) presence of the symptom; (–) absence of the symptom.