Clinical, laboratory and outcome characteristics of 10 patients fulfilling the criteria of metaphyseal dysplasia without hypotrichosis in early childhood
P 1 | P 2 | P 3 | P 4 | P 5 | P 6 | P 7 | P 8 | P 9 | P 10 | |
Mutation* | n.71A>G/ 71A>G | n.71A>G/ 263G>T | n.71A>G/ 71A>G | n.71A>G/ 263G>T | n.71A>G/ 71A>G | n.71A>G/ 263G>T | n.71A>G/ 71A>G | n.71A>G/ 71A>G | n.71A>G/ 71A>G | n.71A>G/ 71A>G |
Age at recruitment, years | 4.3 | 0.6 | 6.6 | 10.2 | 14.2 | 15.3 | 17.1 | 26.4 | 23.8 | 34.3 |
Age at the latest follow-up, years | 20.9 | 28.9 | 34.8 | 37.6 | 44.9 | 46.3 | 48.1 | 50.8 | 54.6 | 65.4 |
Duration of follow-up, years | 16.6 | 28.3 | 28.2 | 27.4 | 30.7 | 31.0 | 31.0 | 24.4 | 30.8 | 31.1 |
Age at the first extraskeletal manifestation | 20.7 | N/A | N/A | 7–17 | 7–17 | 9 | Adulthood | 50.5 | 7–17 | 43.3 |
First extraskeletal manifestation | Hodgkin disease | Pollen allergy | Pollen allergy | Recurrent Sin | Recurrent Sin requiring sinus puncture | Recurrent Sin requiring sinus surgery at 8 years | Recurrent Sin requiring sinus punctures at 37 years | Neuroendocrine carcinoma | Recurrent Sin with polyposis requiring sinus punctures | Recurrent Sin, requiring sinus surgery at 61 years |
Other extraskeletal manifestations in adulthood | None | None | None | Recurrent otitis media since 31 years, skin warts, pollen allergy | Pollen allergy, bronchiectasis since 43 years | Pollen allergy | Skin warts | Pollen allergy | Maxillary polyposis requiring polypectomy at 14 years | Recurrent pneumonia since 55 years and bronchiectasis since 60 years |
Severity of growth failure† | Severe | Mild | Mild | Moderate | Mild | Mild | Mild | Mild | Moderate | Mild |
Adult height group, cm | 120–130 | 130–140 | 130–140 | 130–140 | 130–140 | 140–150 | 130–140 | 130–140 | 120–130 | 120–130 |
Lymphocyte subtypes‡ | N/A | Low CD19+at 0.6 and 26 years | Normal | Normal | Normal | Low CD3+ and CD4+ at 44 years | Normal | N/A | Low CD3+, CD4+ and CD8+ at 36 and 52 years | Normal |
Lymphocyte proliferation§ | N/A | Abnormal at 0.6 years | Normal | Abnormal at 10 years | N/A | Abnormal at 2 years | Abnormal at 7 years | Abnormal at 12 years | Abnormal at 10 years | N/A |
IgA, M and G levels¶ | N/A | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal IgA and IgG, low IgM at 60 years |
SAD** | N/A | N/A | Yes, at 32 years | N/A | N/A | None at 44 years | None at 45 years | N/A | Yes, at 52 years | None at 62 years |
Outcome | Died at 20 years during cancer treatment | Alive | Alive | Alive | Alive | Alive | Alive | Died at 50 years during cancer treatment | Alive | Alive |
*Reference sequence: NR_003051.3.
†Growth failure classified based on CHH-specific growth charts as described in.20
‡Lymphocyte subtypes included CD3+, CD4+, CD8+, CD19+ and CD16/56+ absolute cell numbers measured by flow cytometry as described in.2
§Lymphocyte proliferation measured to PHA, ConA and PWM as described in.20
¶Measured as described in.2
**Specific antibody deficiency was defined as inadequate antibody response to Pneumovax: a fourfold rise in antibody titres and post-immunisation antibody levels ≥0.35 µg/mL to <70% of serotypes, measured as described previously in.2
CHH, cartilage-hair hypoplasia; NA, not available; PHA, phytohaemagglutinin; SAD, specific antibody deficiency.