Table 1

Clinical, laboratory and outcome characteristics of 10 patients fulfilling the criteria of metaphyseal dysplasia without hypotrichosis in early childhood

P 1P 2P 3P 4P 5P 6P 7P 8P 9P 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, years4.30.66.610.214.215.317.126.423.834.3
Age at the latest follow-up, years20.928.934.837.644.946.348.150.854.665.4
Duration of follow-up, years16.628.328.227.430.731.031.024.430.831.1
Age at the first extraskeletal manifestation20.7N/AN/A7–177–179Adulthood50.57–1743.3
First extraskeletal manifestationHodgkin diseasePollen allergyPollen allergyRecurrent SinRecurrent Sin requiring sinus punctureRecurrent Sin requiring sinus surgery at 8 yearsRecurrent Sin requiring sinus punctures at 37 yearsNeuroendocrine carcinomaRecurrent Sin with polyposis requiring sinus puncturesRecurrent Sin, requiring sinus surgery at 61 years
Other extraskeletal manifestations in adulthoodNoneNoneNoneRecurrent otitis media since 31 years, skin warts, pollen allergyPollen allergy, bronchiectasis since 43 yearsPollen allergySkin wartsPollen allergyMaxillary polyposis requiring polypectomy at 14 yearsRecurrent pneumonia since 55 years and bronchiectasis since 60 years
Severity of growth failure†SevereMildMildModerateMildMildMildMildModerateMild
Adult height group, cm120–130130–140130–140130–140130–140140–150130–140130–140120–130120–130
Lymphocyte subtypes‡N/ALow CD19+at 0.6 and 26 yearsNormalNormalNormalLow CD3+ and CD4+ at 44 yearsNormalN/ALow CD3+, CD4+ and CD8+ at 36 and 52 yearsNormal
Lymphocyte proliferation§N/AAbnormal at 0.6 yearsNormalAbnormal at 10 yearsN/AAbnormal at 2 yearsAbnormal at 7 yearsAbnormal at 12 yearsAbnormal at 10 yearsN/A
IgA, M and G levels¶N/ANormalNormalNormalNormalNormalNormalNormalNormalNormal IgA and IgG, low IgM at 60 years
SAD**N/AN/AYes, at 32 yearsN/AN/ANone at 44 yearsNone at 45 yearsN/AYes, at 52 yearsNone at 62 years
OutcomeDied at 20 years during cancer treatmentAliveAliveAliveAliveAliveAliveDied at 50 years during cancer treatmentAliveAlive
  • *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.