Subdural hemorrhage, macrocephaly, rash, and developmental delay in an infant: A pathogenic variant in NLRP3 causes CINCA/NOMID.
Subdural hemorrhage, macrocephaly, rash, and developmental delay in an infant: A pathogenic variant in NLRP3 causes CINCA/NOMID.
复制标题
婴儿硬膜下出血、大头畸形、皮疹和发育迟缓:NLRP3 的致病性变异导致 CINCA/NOMID。
DOI:
10.1002/ajmg.a.63366
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发表时间:
2023
期刊:
影响因子:
--
通讯作者:
Feldman,KennethW
中科院分区:
文献类型:
--
作者:
Koti,AjayS;Lanis,Aviya;Finlayson,Samuel;Canny,Susan;Feldman,ElanaA;Miller,DannyE;Rosenwasser,Natalie;Scott,AbbeyA;Wong,StephenC;Feldman,KennethW
Subdural hemorrhages (SDHs) in children are most often observed in abusive head trauma (AHT), a distinct form of traumatic brain injury, but they may occur in other conditions as well, typically with clear signs and symptoms of an alternative diagnosis. We present a case of an infant whose SDH initially raised the question of AHT, but multidisciplinary evaluation identified multiple abnormalities, including rash, macrocephaly, growth failure, and elevated inflammatory markers, which were all atypical for trauma. These, along with significant cerebral atrophy, ventriculomegaly, and an absence of other injuries, raised concerns for a genetic disorder, prompting genetic consultation. Clinical trio exome sequencing identified a de novo likely pathogenic variant inNLRP3, which is associated with chronic infantile neurological, cutaneous, and articular (CINCA) syndrome, also known as neonatal‐onset multisystem inflammatory disease (NOMID). He was successfully treated with interleukin‐1 blockade, highlighting the importance of prompt treatment in CINCA/NOMID patients. This case also illustrates how atraumatic cases of SDH can be readily distinguished from AHT with multidisciplinary collaboration and careful consideration of the clinical history and exam findings.
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DOI:
--
发表时间:
1983
期刊:
Cell Biology International Reports
影响因子:
--
作者:
S. Pochron;L. Nardone;Y. Kikkawa
通讯作者:
Y. Kikkawa
DOI:
--
发表时间:
1979
期刊:
Laboratory investigation; a journal of technical methods and pathology
影响因子:
--
作者:
S. Katyal;G. Singh
通讯作者:
G. Singh
DOI:
10.1164/arrd.1978.118.4.705
发表时间:
2015
期刊:
The American review of respiratory disease
影响因子:
--
作者:
L. Dobbs;R. Mason
通讯作者:
R. Mason
影响因子:
1.7
作者:
Mescher,EJ;Dobbs,LG;Mason,RJ
通讯作者:
Mason,RJ
影响因子:
3.7
作者:
Messmer,TO;Armour,R;Holley,RW
通讯作者:
Holley,RW