PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?

Abstract Background We report a three-year-old girl with a potentially unique phenotype of perinatal onset and neurovascular features who was found to have PAMI syndrome. We also compare her case to those previously reported and review the differences between the PSTPIP1-associated inflammatory dise...

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Main Authors: Bethany Gillies Whiteside, Hannah Titheradge, Eslam Al-Abadi
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Pediatric Rheumatology Online Journal
Subjects:
Online Access:https://doi.org/10.1186/s12969-022-00707-5
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author Bethany Gillies Whiteside
Hannah Titheradge
Eslam Al-Abadi
author_facet Bethany Gillies Whiteside
Hannah Titheradge
Eslam Al-Abadi
author_sort Bethany Gillies Whiteside
collection DOAJ
description Abstract Background We report a three-year-old girl with a potentially unique phenotype of perinatal onset and neurovascular features who was found to have PAMI syndrome. We also compare her case to those previously reported and review the differences between the PSTPIP1-associated inflammatory diseases (PAID) phenotypes and genotypes. Case presentation The patient was found to have a heterozygous pathogenic variant in PSTPIP1 (c.748G > A p.E250K). This variant was shown to be absent in both parents and therefore de novo in the patient. A literature review was carried out through multiple databases using the terms PSTPIP1, PAID, PAPA syndrome and PAMI syndrome. This information was collected and used to form comparisons between the current literature and our reported case. Conclusions Our case contributes to the literature on PAMI syndrome whilst providing an example of a potentially unique clinical phenotype, giving insight into the pre-symptomatic phase of the condition. We highlight the importance of considering PAMI syndrome in the differential for early onset unexplained inflammation. In addition, we explore the possibility that perinatal neurovascular events could be an early feature of PAMI syndrome.
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spelling doaj.art-b0de5935a3194a85ba497f0f63b80b512022-12-22T01:29:41ZengBMCPediatric Rheumatology Online Journal1546-00962022-07-012011910.1186/s12969-022-00707-5PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?Bethany Gillies Whiteside0Hannah Titheradge1Eslam Al-Abadi2Birmingham Women’s and Children’s NHS Foundation TrustBirmingham Women’s and Children’s NHS Foundation TrustBirmingham Women’s and Children’s NHS Foundation TrustAbstract Background We report a three-year-old girl with a potentially unique phenotype of perinatal onset and neurovascular features who was found to have PAMI syndrome. We also compare her case to those previously reported and review the differences between the PSTPIP1-associated inflammatory diseases (PAID) phenotypes and genotypes. Case presentation The patient was found to have a heterozygous pathogenic variant in PSTPIP1 (c.748G > A p.E250K). This variant was shown to be absent in both parents and therefore de novo in the patient. A literature review was carried out through multiple databases using the terms PSTPIP1, PAID, PAPA syndrome and PAMI syndrome. This information was collected and used to form comparisons between the current literature and our reported case. Conclusions Our case contributes to the literature on PAMI syndrome whilst providing an example of a potentially unique clinical phenotype, giving insight into the pre-symptomatic phase of the condition. We highlight the importance of considering PAMI syndrome in the differential for early onset unexplained inflammation. In addition, we explore the possibility that perinatal neurovascular events could be an early feature of PAMI syndrome.https://doi.org/10.1186/s12969-022-00707-5PAMIPAIDPSTPIP1PAPAAutoinflammatoryPerinatal
spellingShingle Bethany Gillies Whiteside
Hannah Titheradge
Eslam Al-Abadi
PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?
Pediatric Rheumatology Online Journal
PAMI
PAID
PSTPIP1
PAPA
Autoinflammatory
Perinatal
title PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?
title_full PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?
title_fullStr PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?
title_full_unstemmed PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?
title_short PSTPIP1-associated myeloid-related proteinaemia inflammatory (PAMI) syndrome; a case presenting as a perinatal event with early central nervous system involvement?
title_sort pstpip1 associated myeloid related proteinaemia inflammatory pami syndrome a case presenting as a perinatal event with early central nervous system involvement
topic PAMI
PAID
PSTPIP1
PAPA
Autoinflammatory
Perinatal
url https://doi.org/10.1186/s12969-022-00707-5
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