Clinical findings at diagnosis and mutational analysis of the FHL patients
Characteristics . | Patient no. . | ||||
---|---|---|---|---|---|
1 . | 2 . | 3 . | 4 . | 5 . | |
Ethnic origin | Netherlands | Sweden | Pakistan | Lebanon | Turkey |
Consanguinity | No | No | Yes | Yes | Yes |
Sex | Female | Male | Male | Male | Male |
Affected gene | PRF1 | PRF1 | UNC13D | STX11 | STX11 |
Mutation* | H222Q | E317R + D430Y | W382X | T37FsX62 | Q268X |
Age at diagnosis, mo | 2 | 0 | 2 | 7 | 72 |
Fever higher than 38°C | + | + | + | + | + |
Splenomegaly | + | + | + | + | + |
Pancytopenia | + | + | + | + | + |
Hypertriglyceridemia | − | + | + | + | + |
Hypofibrinogenemia | + | + | + | + | + |
Ferritin, μg/L | 22000 | 16000 | 20000 | 5000 | 1000 |
NK cell activity | Absent | Partial restoration by IL-2 | Partial restoration by IL-2 | Partial restoration by IL-2 | Partial restoration by IL-2 |
Hemophagocytosis | + | − | + | + | + |
Outcome | Alive and well after SCT | Dead before SCT | Alive and well, SCT planned | Alive and well after SCT | Alive and well after SCT |
Characteristics . | Patient no. . | ||||
---|---|---|---|---|---|
1 . | 2 . | 3 . | 4 . | 5 . | |
Ethnic origin | Netherlands | Sweden | Pakistan | Lebanon | Turkey |
Consanguinity | No | No | Yes | Yes | Yes |
Sex | Female | Male | Male | Male | Male |
Affected gene | PRF1 | PRF1 | UNC13D | STX11 | STX11 |
Mutation* | H222Q | E317R + D430Y | W382X | T37FsX62 | Q268X |
Age at diagnosis, mo | 2 | 0 | 2 | 7 | 72 |
Fever higher than 38°C | + | + | + | + | + |
Splenomegaly | + | + | + | + | + |
Pancytopenia | + | + | + | + | + |
Hypertriglyceridemia | − | + | + | + | + |
Hypofibrinogenemia | + | + | + | + | + |
Ferritin, μg/L | 22000 | 16000 | 20000 | 5000 | 1000 |
NK cell activity | Absent | Partial restoration by IL-2 | Partial restoration by IL-2 | Partial restoration by IL-2 | Partial restoration by IL-2 |
Hemophagocytosis | + | − | + | + | + |
Outcome | Alive and well after SCT | Dead before SCT | Alive and well, SCT planned | Alive and well after SCT | Alive and well after SCT |
+ indicates presence; −, absence; SCT, stem cell transplantation.
Patient no. 1: H222Q = c.(666C>A) + c.(666C>A) p.H222Q; no. 2: E317R + D430Y = c.(949G>A) + c.(1288G>T) p.E317R + D430Y; no. 3: W382X = c.(1145G>A) + c.(1145G>A) p.W382X; no. 4: T37FsX62 = c.(110delC) + c.(110delC) p.T37FsX62; and no. 5: Q268X = c.(802C>T) + c.(802C>T) p.Q268X.