Table 1.
Patient no.; sex | Age at HSCT (years) | STAT3 Heterozygous mutation | Skin disease | Lung disease and PFTs | Fractures; other skeletal disease | Infection; other Issues | ||||
---|---|---|---|---|---|---|---|---|---|---|
Pre-HSCT | Post-HSCT | Pre-HSCT | Post-HSCT | Pre-HSCT | Post-HSCT | Pre-HSCT | Post-HSCT | |||
1 M |
7 | c.1909 G>A p.V637M | Yes | Normal |
Left upper and lower lobectomies with bronchopleural fistula; bilateral bronchiectasis; chronic Aspergillus infection; pulmonary hypertension FEV1 47% FVC 51% |
Stable appearance on CT: bronchiectasis persist Nocturnal CPAP for lobar collapse post-scoliosis repair with limited exercise tolerance FEV1 20% FVC 23% |
Yes |
2 further fractures at 3–4 years post-HSCT Development of scoliosis requiring spinal fusion |
Staphylococcus aureus pericarditis | - |
2 F |
6 | c.1771 A>G p.K591E | Yes | Normal |
Recurrent Pseudomonas lung infection with cyst formation Not done |
Stable; no progression of pulmonary cysts FEV1 95% FVC 88% |
No | Development of scoliosis | - |
Gonadal failure following myeloablative conditioning Arterial hypertension |
3 M |
13 | c.1144 C>T p.R382W | Yes | Normal |
Severe and recurrent pneumonia with bronchiectasis FEV1 63% FVC 70% |
Stable appearance on CT No further hemoptysis FEV1 83% FVC 71% |
Yes | No | - | ST segment elevation myocardial infarction aged 26 years (13 years post-HSCT) |
4 M |
14 | c.1144 C>T p.R382W |
Yes Pustular dermatitis |
Dry skin, no infection |
Bronchiectasis with multi-cystic lung disease, leading to left lobectomy FEV1 28% FVC 26% |
Significant improvement in pulmonary cystic disease and resolution in right lower lobe bronchial thickening on CT FEV1 65% FVC 74% |
Yes | No | Staphylococcus aureus liver abscess | Autoimmune neutropenia |
5 F |
17 | c.1144 C>T p.R382W |
Yes Persistent infected czema |
Normal |
Pneumatocoele leading to left lobectomy FEV1 53% FVC 67% |
Improvement in lung appearance on CT FEV1 51% FVC 67% |
Yes | No | - | Aspergillus perdicarditis at 7 months post-HSCT resolved by 16 months post-HSCT |
6 M |
18 | c.1110 A>G D371_G380del |
Yes Eczema, pustular dermatitis |
Resolution of previous chronic infection |
Lung abscess; pulmonary TB FEV1 89% FVC 90% |
Stable CXR changes Not done |
No Retained primary dentition |
Enterococcal septic arthritis with collapse of femoral head |
Recurrent Staphylococcus aureus liver abscess Candida retroperitoneal lymphadenitis and liver abscess |
Early gastrointestinal bleed in post-transplant period Medication-related nephrotoxicity |
6 2nd HSCT |
18 | |||||||||
7 M |
13 | c.1144 C>G p.R382G |
Yes Multiple skin abscesses |
Dry skin, no infection |
Minimal FEV1 89% FVC 90% |
Improvement in symptoms and exercise tolerance Not done |
No Retained primary dentition |
No | Osteomyelitis of mandible | - |
8 F |
6 | c.1144 C>T p.R382W |
Yes Eczema, Multiple skin abscesses |
Dry skin, no infection |
Severe bronchiectasis bilaterally with broncho-pulmonary aspergillosis FEV1 84% FVC 92% |
Improvement in symptoms FEV1 82.7%FVC 78.4% |
No | No | - | - |