Table 1.

Features of patients with SH2D1A mutation

Clinical phenotypesCarrier detection
by genetic
diagnosis
SH2D1A mutationAge at
onset
(y)
DysgammaglobulinemiaClinical history
Case no.Family historyTypeNucleotide/(protein)IgG/IgA/IgM
Fulminant infectious mononucleosis
 
  1 + brother of case 2 Grandmother Nonsense Exon 2: 462C > T 1190/555/2010 Died after 19 days  
Mother (Arg 55Stop)  
  2 + brother of case 1 Grandmother Nonsense Exon 2: 462C > T 1661/756/1296 Died after 20 days  
Mother (Arg 55Stop)  
  3 − ND Nonsense Exon 2: 462C > T 1502/126/3604 Died after 18 days  
(Arg 55Stop) 
*− Mother Deletion Exons 1-4 1570/543/1200 Died after 21 days 
  5 − No carrier Deletion Exon 3: 584del(A) (frameshift) 1548/827/700 Died after 34 days 
  6 + 1 brother with EBV-negative lymphoma Mother Splice Exon 1: 416 C > T 938/635/926 Died after 21 days  
Intron 1: 5′ splice site  
(del 22bp, frameshift)  
  7 + 1 brother with Mother Missense Exon 1: 396G > T hypogammaglobulinemia In remission after 
   hypogammaglobulinemia and lymphoma Sister  (Asp 33Tyr)   since 4 years old  chemotherapy followed by PBSCT 
  8 − ND Missense Exon 1: 378G > A 1002/283/322 Died after about 1 month  
(Gly 27 Ser)  
  9 + 1 brother with hypogammaglobulinemia ND Missense Exon 1: 321C > G 1280/214/638 Stable at 17 years old under IVIG 
(His 8 Asp)  → hypogammaglobulinemia 
EBV-associated lymphoma
 
  10 − Mother Missense Exon 2: 445G > T 51/4/24 In remission after chemotherapy USCT planned  
(Gly 49 Val) 
Clinical phenotypesCarrier detection
by genetic
diagnosis
SH2D1A mutationAge at
onset
(y)
DysgammaglobulinemiaClinical history
Case no.Family historyTypeNucleotide/(protein)IgG/IgA/IgM
Fulminant infectious mononucleosis
 
  1 + brother of case 2 Grandmother Nonsense Exon 2: 462C > T 1190/555/2010 Died after 19 days  
Mother (Arg 55Stop)  
  2 + brother of case 1 Grandmother Nonsense Exon 2: 462C > T 1661/756/1296 Died after 20 days  
Mother (Arg 55Stop)  
  3 − ND Nonsense Exon 2: 462C > T 1502/126/3604 Died after 18 days  
(Arg 55Stop) 
*− Mother Deletion Exons 1-4 1570/543/1200 Died after 21 days 
  5 − No carrier Deletion Exon 3: 584del(A) (frameshift) 1548/827/700 Died after 34 days 
  6 + 1 brother with EBV-negative lymphoma Mother Splice Exon 1: 416 C > T 938/635/926 Died after 21 days  
Intron 1: 5′ splice site  
(del 22bp, frameshift)  
  7 + 1 brother with Mother Missense Exon 1: 396G > T hypogammaglobulinemia In remission after 
   hypogammaglobulinemia and lymphoma Sister  (Asp 33Tyr)   since 4 years old  chemotherapy followed by PBSCT 
  8 − ND Missense Exon 1: 378G > A 1002/283/322 Died after about 1 month  
(Gly 27 Ser)  
  9 + 1 brother with hypogammaglobulinemia ND Missense Exon 1: 321C > G 1280/214/638 Stable at 17 years old under IVIG 
(His 8 Asp)  → hypogammaglobulinemia 
EBV-associated lymphoma
 
  10 − Mother Missense Exon 2: 445G > T 51/4/24 In remission after chemotherapy USCT planned  
(Gly 49 Val) 

ND indicates not done; PBSCT, peripheral blood stem cell transplantation; IVIG, intravenous immunoglobulins; EBV, Epstein-Barr virus; USCT, umbilical stem cell transplantation.

*

This case was previously published.8 

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