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Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease
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| Zeitschriftentitel: | Pediatrics |
|---|---|
| Personen und Körperschaften: | , , , , , , |
| In: | Pediatrics, 147, 2021, 3 |
| Medientyp: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Academy of Pediatrics (AAP)
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| Schlagwörter: |
| author_facet |
Del Borrello, Giovanni Guardo, Daniela Micalizzi, Concetta Ceccherini, Isabella Miano, Maurizio Gattorno, Marco Dufour, Carlo Del Borrello, Giovanni Guardo, Daniela Micalizzi, Concetta Ceccherini, Isabella Miano, Maurizio Gattorno, Marco Dufour, Carlo |
|---|---|
| author |
Del Borrello, Giovanni Guardo, Daniela Micalizzi, Concetta Ceccherini, Isabella Miano, Maurizio Gattorno, Marco Dufour, Carlo |
| spellingShingle |
Del Borrello, Giovanni Guardo, Daniela Micalizzi, Concetta Ceccherini, Isabella Miano, Maurizio Gattorno, Marco Dufour, Carlo Pediatrics Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease Pediatrics, Perinatology and Child Health |
| author_sort |
del borrello, giovanni |
| spelling |
Del Borrello, Giovanni Guardo, Daniela Micalizzi, Concetta Ceccherini, Isabella Miano, Maurizio Gattorno, Marco Dufour, Carlo 0031-4005 1098-4275 American Academy of Pediatrics (AAP) Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1542/peds.2020-0784 <jats:p>PSTPIP1-associated myeloid-related proteinemia inflammatory (PAMI) syndrome is a rare early-onset autoinflammatory disease associated with various hematologic findings, including chronic neutropenia and pancytopenia. We report a unique case of PAMI syndrome in a toddler with transfusion-dependent hemolytic anemia, hepatosplenomegaly, failure to thrive, developmental delay, and multiple malformations. Because of acute inflammatory-driven decompensation, anakinra was started with dramatic improvement of both the hematologic and neurologic involvement. A customized next-generation sequencing panel later identified a de novo pathogenic variant in the PSTPIP1 gene, confirming the diagnosis. Our case illustrates the broad spectrum of phenotypes associated with PAMI syndrome, which should be considered in any case of unexplained cytopenias associated with autoinflammatory stigmata. It is also one of the few reports of neurologic involvement in PSTPIP1-associated inflammatory diseases. Increased awareness of this rare disease and early performance of genetic testing can correctly diagnose PAMI syndrome and prevent disease complications.</jats:p> Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease Pediatrics |
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| title |
Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_unstemmed |
Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_full |
Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_fullStr |
Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_full_unstemmed |
Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_short |
Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_sort |
hemolysis and neurologic impairment in pami syndrome: novel characteristics of an elusive disease |
| topic |
Pediatrics, Perinatology and Child Health |
| url |
http://dx.doi.org/10.1542/peds.2020-0784 |
| publishDate |
2021 |
| physical |
|
| description |
<jats:p>PSTPIP1-associated myeloid-related proteinemia inflammatory (PAMI) syndrome is a rare early-onset autoinflammatory disease associated with various hematologic findings, including chronic neutropenia and pancytopenia. We report a unique case of PAMI syndrome in a toddler with transfusion-dependent hemolytic anemia, hepatosplenomegaly, failure to thrive, developmental delay, and multiple malformations. Because of acute inflammatory-driven decompensation, anakinra was started with dramatic improvement of both the hematologic and neurologic involvement. A customized next-generation sequencing panel later identified a de novo pathogenic variant in the PSTPIP1 gene, confirming the diagnosis. Our case illustrates the broad spectrum of phenotypes associated with PAMI syndrome, which should be considered in any case of unexplained cytopenias associated with autoinflammatory stigmata. It is also one of the few reports of neurologic involvement in PSTPIP1-associated inflammatory diseases. Increased awareness of this rare disease and early performance of genetic testing can correctly diagnose PAMI syndrome and prevent disease complications.</jats:p> |
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| author | Del Borrello, Giovanni, Guardo, Daniela, Micalizzi, Concetta, Ceccherini, Isabella, Miano, Maurizio, Gattorno, Marco, Dufour, Carlo |
| author_facet | Del Borrello, Giovanni, Guardo, Daniela, Micalizzi, Concetta, Ceccherini, Isabella, Miano, Maurizio, Gattorno, Marco, Dufour, Carlo, Del Borrello, Giovanni, Guardo, Daniela, Micalizzi, Concetta, Ceccherini, Isabella, Miano, Maurizio, Gattorno, Marco, Dufour, Carlo |
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| description | <jats:p>PSTPIP1-associated myeloid-related proteinemia inflammatory (PAMI) syndrome is a rare early-onset autoinflammatory disease associated with various hematologic findings, including chronic neutropenia and pancytopenia. We report a unique case of PAMI syndrome in a toddler with transfusion-dependent hemolytic anemia, hepatosplenomegaly, failure to thrive, developmental delay, and multiple malformations. Because of acute inflammatory-driven decompensation, anakinra was started with dramatic improvement of both the hematologic and neurologic involvement. A customized next-generation sequencing panel later identified a de novo pathogenic variant in the PSTPIP1 gene, confirming the diagnosis. Our case illustrates the broad spectrum of phenotypes associated with PAMI syndrome, which should be considered in any case of unexplained cytopenias associated with autoinflammatory stigmata. It is also one of the few reports of neurologic involvement in PSTPIP1-associated inflammatory diseases. Increased awareness of this rare disease and early performance of genetic testing can correctly diagnose PAMI syndrome and prevent disease complications.</jats:p> |
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| spelling | Del Borrello, Giovanni Guardo, Daniela Micalizzi, Concetta Ceccherini, Isabella Miano, Maurizio Gattorno, Marco Dufour, Carlo 0031-4005 1098-4275 American Academy of Pediatrics (AAP) Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1542/peds.2020-0784 <jats:p>PSTPIP1-associated myeloid-related proteinemia inflammatory (PAMI) syndrome is a rare early-onset autoinflammatory disease associated with various hematologic findings, including chronic neutropenia and pancytopenia. We report a unique case of PAMI syndrome in a toddler with transfusion-dependent hemolytic anemia, hepatosplenomegaly, failure to thrive, developmental delay, and multiple malformations. Because of acute inflammatory-driven decompensation, anakinra was started with dramatic improvement of both the hematologic and neurologic involvement. A customized next-generation sequencing panel later identified a de novo pathogenic variant in the PSTPIP1 gene, confirming the diagnosis. Our case illustrates the broad spectrum of phenotypes associated with PAMI syndrome, which should be considered in any case of unexplained cytopenias associated with autoinflammatory stigmata. It is also one of the few reports of neurologic involvement in PSTPIP1-associated inflammatory diseases. Increased awareness of this rare disease and early performance of genetic testing can correctly diagnose PAMI syndrome and prevent disease complications.</jats:p> Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease Pediatrics |
| spellingShingle | Del Borrello, Giovanni, Guardo, Daniela, Micalizzi, Concetta, Ceccherini, Isabella, Miano, Maurizio, Gattorno, Marco, Dufour, Carlo, Pediatrics, Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease, Pediatrics, Perinatology and Child Health |
| title | Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_full | Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_fullStr | Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_full_unstemmed | Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_short | Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| title_sort | hemolysis and neurologic impairment in pami syndrome: novel characteristics of an elusive disease |
| title_unstemmed | Hemolysis and Neurologic Impairment in PAMI Syndrome: Novel Characteristics of an Elusive Disease |
| topic | Pediatrics, Perinatology and Child Health |
| url | http://dx.doi.org/10.1542/peds.2020-0784 |