Haploinsufficiency of A20 in a Chinese child caused by loss-of-function mutations in TNFAIP3: A case report and review of the literature

被引:5
作者
Liu, Jing [1 ,2 ]
Lin, Yuese [1 ,2 ]
Li, Xuandi [1 ,2 ]
Ba, Hongjun [1 ,2 ]
He, Xiufang [1 ,2 ]
Peng, Huimin [1 ,2 ]
Li, Shujuan [1 ,2 ]
Zhu, Ling [1 ,2 ]
机构
[1] Sun Yat sen Univ, Affiliated Hosp 1, Dept Pediat Cardiol, Guangzhou, Peoples R China
[2] Minist Hlth, Key Lab Assisted Circulat, Guangzhou, Peoples R China
来源
FRONTIERS IN PEDIATRICS | 2023年 / 10卷
基金
中国国家自然科学基金;
关键词
A20; haploinsufficiency of A20; autoinflammatory disease; TNFAIP3; children; PROCALCITONIN; MARKER;
D O I
10.3389/fped.2022.990008
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Case PresentationA 3-year-and-6-month-old child was reported to have recurrent high fever with generalized lymph node enlargement and significant elevation of inflammatory markers such as C-reactive protein and procalcitonin in tests. Later, whole exome sequencing determined that the child's disease was haploinsufficiency of A20 (HA20). ResultsAfter immunosuppressive therapy, the child's symptoms improved significantly, and the inflammatory markers dropped to the normal range. ConclusionBecause of the characteristics of HA20, this disease is often underdiagnosed and misdiagnosed in clinical practice. By reporting this case of HA20 in a child, we hope to increase the awareness of this disease in the clinic.
引用
收藏
页数:7
相关论文
共 22 条
  • [1] Haploinsufficiency of A20 and other paediatric inflammatory disorders with mucosal involvement
    Aeschlimann, Florence A.
    Laxer, Ronald M.
    [J]. CURRENT OPINION IN RHEUMATOLOGY, 2018, 30 (05) : 506 - 513
  • [2] Response to: 'A20 haploinsufficiency (HA20): clinical phenotypes and disease course of patients with a newly recognised NF-kB-mediated autoinflammatory disease' by Aeschlimann et al
    Aeschlimann, Florence A.
    Laxer, Ronald M.
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2019, 78 (05) : E36 - E36
  • [3] A20 haploinsufficiency (HA20): clinical phenotypes and disease course of patients with a newly recognised NF-kB-mediated autoinflammatory disease
    Aeschlimann, Florence A.
    Batu, Ezgi D.
    Canna, Scott W.
    Go, Ellen
    Gul, Ahmet
    Hoffmann, Patrycja
    Leavis, Helen L.
    Ozen, Seza
    Schwartz, Daniella M.
    Stone, Deborah L.
    van Royen-Kerkof, Annet
    Kastner, Daniel L.
    Aksentijevich, Ivona
    Laxer, Ronald M.
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2018, 77 (05) : 728 - 735
  • [4] Autosomic dominant familial Behget disease and haploinsufficiency A20: A review of the literature
    Berteau, Florian
    Rouviere, Benedicte
    Delluc, Aurelien
    Nau, Alice
    Le Berre, Rozenn
    Sarrabay, Guillaume
    Touitou, Isabelle
    de Moreuil, Claire
    [J]. AUTOIMMUNITY REVIEWS, 2018, 17 (08) : 809 - 815
  • [5] Novel Heterogeneous Mutation of TNFAIP3 in a Chinese Patient with Behcet-Like Phenotype and Persistent EBV Viremia
    Dong, Xiaolong
    Liu, Luyao
    Wang, Ying
    Yang, Xiaotao
    Wang, Wenjie
    Lin, Li
    Sun, Bijun
    Hou, Jia
    Ying, Wenjing
    Hui, Xiaoying
    Zhou, Qinhua
    Liu, Danru
    Yao, Haili
    Sun, Jinqiao
    Wang, Xiaochuan
    [J]. JOURNAL OF CLINICAL IMMUNOLOGY, 2019, 39 (02) : 188 - 194
  • [6] Early-onset autoimmune disease due to a heterozygous loss-of-function mutation in TNFAIP3 (A20)
    Duncan, Christopher J. A.
    Dinnigan, Emma
    Theobald, Rachel
    Grainger, Angela
    Skelton, Andrew J.
    Hussain, Rafiqul
    Willet, Joseph D. P.
    Swan, David J.
    Coxhead, Jonathan
    Thomas, Matthew F.
    Thomas, Julian
    Zamvar, Veena
    Slatter, Mary A.
    Cant, Andrew J.
    Engelhardt, Karin R.
    Hambleton, Sophie
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2018, 77 (05) : 783 - +
  • [7] A20 Haploinsufficiency Presenting with a Combined Immunodeficiency
    Gans, Melissa D.
    Wang, Hongying
    Moura, Natalia Sampaio
    Aksentijevich, Ivona
    Rubinstein, Arye
    [J]. JOURNAL OF CLINICAL IMMUNOLOGY, 2020, 40 (07) : 1041 - 1044
  • [8] A Family With A20 Haploinsufficiency Presenting With Novel Clinical Manifestations and Challenges for Treatment
    Hautala, Timo
    Vahasalo, Paula
    Kuismin, Outi
    Keskitalo, Salla
    Rajamaki, Kristiina
    Vaananen, Antti
    Simojoki, Marja
    Saily, Marjaana
    Pelkonen, Ilpo
    Tokola, Heikki
    Makinen, Markus
    Kaarteenaho, Riitta
    Jartti, Airi
    Hautala, Nina
    Kantola, Saara
    Jackson, Paivi
    Glumoff, Virpi
    Saarela, Janna
    Varjosalo, Markku
    Eklund, Kari K.
    Seppanen, Mikko R. J.
    [J]. JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2021, 27 (08) : E583 - E587
  • [9] A20 Haploinsufficiency in East Asia
    Kadowaki, Tomonori
    Kadowaki, Saori
    Ohnishi, Hidenori
    [J]. FRONTIERS IN IMMUNOLOGY, 2021, 12
  • [10] A Case of Adult-Onset Still's Disease Caused by a Novel Splicing Mutation in TNFAIP3 Successfully Treated With Tocilizumab
    Lawless, Dylan
    Pathak, Shelly
    Scambler, Thomas Edward
    Ouboussad, Lylia
    Anwar, Rashida
    Savic, Sinisa
    [J]. FRONTIERS IN IMMUNOLOGY, 2018, 9