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Table 2 Comparison of clinical features among AGS, soJIA, and CINCA

From: Systemic inflammation and chronic kidney disease in a patient due to the RNASEH2B defect

Clinical features

Our Patient

Other AGS [2, 3]

soJIA [4,5,6]

CINCA [7, 8]

Onset within the first year of life

no

common

rare

common

Fever

frequently often

rare

common

common

Preserved or normal intelligence

yes

less common

yes

less common

Mental retardation

no

common

rare

common

Joint swelling

yes

rare

common

common

Arthralgia

yes

rare

common

common

Destructive arthritis

no

rare

common

common

Chilblains

yes

common

NR

rare

Urticarial rash

no

rare

less common

common

Salmon-pink rash

no

rare

common

less common

Conjunctivitis

no

none

less common

common

Visual damage

no

less common

rare

common

Sensor neural deafness

no

rare

NR

common

Progressive chronic meningitis

no

rare

NR

common

Auto-inflammatory manifestations

yes

less common

common

common

Auto-immune manifestations

no

common

rare

none

Severe intra-uterine growth retardation

no

common

NR

rare

Microcephaly

no

common

NR

rare

Psychomotor retarded

not obvious

common

rare

common

Feeding difficulties

no

common

NR

less common

Growth retardation

yes

common

less common

common

Hepatosplenomegaly

no

common

common

common

Cerebral atrophy

milder

common

NR

common

White matter abnormalities

yes

common

NR

less common

Intracranial calcification

yes

common

NR

none

Chronic kidney disease

yes

none

rare

common

Renal amyloidosis

not yet

none

rare

common

Leukocytosis

no

rare

common

common

C-reactive protein

significantly elevated

rare

significantly elevated

significantly elevated

Erythrocyte sedimentation

significantly elevated

less common

significantly elevated

significantly elevated

Ferritin

normal

normal

significantly elevated in MAS

significantly elevated in MAS

Triglycerides

normal

normal

elevated in MAS

elevated in MAS

  1. AGS Aicardi-Goutières, SoJIA Systemic juvenile idiopathic arthritis, CINCA onset chronic infantile neurologic, cutaneous, and arthritis syndrome, NR not reported, MAS macrophage activation syndrome