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Table 2 Summary of families previously reported with Familial Chilblain Lupus based on mutation in TREX1

From: Familial chilblain lupus due to a novel mutation in TREX1 associated with Aicardi–Goutie’res syndrome

Ethnic

No. of patients

Age of onset

Modes of inheritance

Mutation

Clinical manifestations (No. of patients)

Immunologic findings

Skin biopsy findings (No. of patients)

References

Turkey

2

2.5

AR

p.Arg114Cys

Skin lessions (2)

Cerebral vasculopathy (1)

Positive: free protein C was mildly reduced

Negative: C3,ANA, dsDNA, CryoG, CryoF, anticardiolipin antibodies, Antithrombin III, protein S and homocysteine levels

NA

3

Germany

18

2.3

AD

p.Asp18Asn

Skin lessions (18)

Arthritis (4)

Positive: ANA

Negative: RF, Cold agg,CryoG, CryoF, anticardiolipin antibodies

Consistent with LE(3)

2, 4

Japan

5

early childhood

AD

p.Asp18Asn

Skin lessions (5)

Cerebral vasculopathy (1)

subarachnoid hemorrhage (1)

Positive: ANA, an increased interleukin-6 of cerebrospinal fluid

Negative: anticardiolipin antibodies,CryoG, Antithrombin III, protein, homocysteine levels and free protein C was mildly reduced

Small vessel angitis(1)

5

Germany

4

childhood

AD

p.His195Gln

Skin lessions (4)

Arthritis (3)

thrombocytopenia (3)

lymphocytopenia (3)

Positive: ANA 1:160

Negative: C3, RF, CCP

Consistent with LE(2)

6

Bangladeshi

4

3

AD

c.375dupT

Skin lessions (3)

Arthritis (2)

Positive: ANA1:1000

Negative:RF,C3,ENA, CryoG, CryoF, anticardiolipin antibodies,

NA

7

Japan

10

Early Childhood

AD

p.Asp18Asn

Skin lessions (10)

NA

NA

8

Germany

4

Childhood

AD

p.Asp18Asn

Skin lessions (4)

photosensitive rash (1)

Positive: ANA 1:80

Negative: C3, CryoG,

Consistent with LE(1)

9

Japan

6

early childhood

AD

p.Pro132Ala

Skin lessions (6)

Positive: ANA 1:80

Negative: C3, dsDNA

Consistent with LE(1)

10

Germany

3

childhood

AD

p.Asp18Asn

Skin lessions (3)

Arthritis (1)

Leukopenia, animia, thrombocytopenia (1)

Positive: ANA 1:160, elevated of immuno-globulin G

Negative: ENA, anticardiolipin antibodies,CryoG,

Consistent with LE(1)

11

China

13

early childhood

AD

p.Asp18His

Skin lessions (13)

Arthritis (4)

Positive:

Negative: CCP, RF, ANA, ENA, C3,anticardiolipin antibodie, cold agg,

Consistent with LE(1)

Present case

  1. ANA anti-nuclear antibody, Cold agg cold agglutinin, CryoG cryoglobulin, CryoF cryofibrinogen, dsDNA double-stranded DNA, RF rheumatic Factor, C3 complement 3, LE lupus erythematosus, ENA antibodies of extractable nuclear antigens, CCP cyclic citrullinated peptide, NA not analyzed, AR autosomal recessive, AD autosomal dominant