Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome

Since the first description of the syndrome of sideroblastic anemia with immunodeficiency, fevers and development delay (SIFD), clinical pictures lacking both neurological and hematological manifestations have been reported. Moreover, prominent skin involvement, such as with relapsing erythema nodos...

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Main Authors: Leonardo Oliveira Mendonca, Alex Isidoro Prado, Izelda Maria Carvalho Costa, Marcia Bandeira, Rafael Dyer, Samar Freschi Barros, Karen Francine Khöler, Luiz Augusto Marcondes Fonseca, Jorge Kalil, Fabio Morato Castro, Myrthes Anna Maragna Toledo-Barros
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.586320/full
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author Leonardo Oliveira Mendonca
Leonardo Oliveira Mendonca
Alex Isidoro Prado
Izelda Maria Carvalho Costa
Marcia Bandeira
Rafael Dyer
Samar Freschi Barros
Karen Francine Khöler
Luiz Augusto Marcondes Fonseca
Jorge Kalil
Fabio Morato Castro
Myrthes Anna Maragna Toledo-Barros
author_facet Leonardo Oliveira Mendonca
Leonardo Oliveira Mendonca
Alex Isidoro Prado
Izelda Maria Carvalho Costa
Marcia Bandeira
Rafael Dyer
Samar Freschi Barros
Karen Francine Khöler
Luiz Augusto Marcondes Fonseca
Jorge Kalil
Fabio Morato Castro
Myrthes Anna Maragna Toledo-Barros
author_sort Leonardo Oliveira Mendonca
collection DOAJ
description Since the first description of the syndrome of sideroblastic anemia with immunodeficiency, fevers and development delay (SIFD), clinical pictures lacking both neurological and hematological manifestations have been reported. Moreover, prominent skin involvement, such as with relapsing erythema nodosum, is not a common finding. Up to this moment, no genotype and phenotype correlation could be done, but mild phenotypes seem to be located in the N or C part. B-cell deficiency is a hallmark of SIFD syndrome, and multiple others immunological defects have been reported, but not high levels of double negative T cells. Here we report a Brazilian patient with a novel phenotype of SFID syndrome, carrying multiple immune defects and harboring a novel mutation on TRNT1 gene.
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spelling doaj.art-d1e9141ad6c54fa0ab0443a1602fdbfc2022-12-21T19:40:16ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-04-011210.3389/fimmu.2021.586320586320Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) SyndromeLeonardo Oliveira Mendonca0Leonardo Oliveira Mendonca1Alex Isidoro Prado2Izelda Maria Carvalho Costa3Marcia Bandeira4Rafael Dyer5Samar Freschi Barros6Karen Francine Khöler7Luiz Augusto Marcondes Fonseca8Jorge Kalil9Fabio Morato Castro10Myrthes Anna Maragna Toledo-Barros11Clinical Immunology and Allergy, School of Medicine, University of São Paulo, São Paulo, BrazilLaboratory for Immunological Investigation (LIM-19), Heart Institute, University of São Paulo, São Paulo, BrazilClinical Immunology and Allergy, School of Medicine, University of São Paulo, São Paulo, BrazilDiscipline of Dermatology, University of Brasília, Brasília, BrazilDepartment of Pediatric Rheumatology, Hospital Pequeno Príncipe, Paraná, BrazilDepartment of Surgical Pathology, School of Medicine, University of São Paulo, São Paulo, BrazilLaboratory for Immunological Investigation (LIM-19), Heart Institute, University of São Paulo, São Paulo, BrazilLaboratory for Immunological Investigation (LIM-19), Heart Institute, University of São Paulo, São Paulo, BrazilClinical Immunology and Allergy, School of Medicine, University of São Paulo, São Paulo, BrazilClinical Immunology and Allergy, School of Medicine, University of São Paulo, São Paulo, BrazilClinical Immunology and Allergy, School of Medicine, University of São Paulo, São Paulo, BrazilClinical Immunology and Allergy, School of Medicine, University of São Paulo, São Paulo, BrazilSince the first description of the syndrome of sideroblastic anemia with immunodeficiency, fevers and development delay (SIFD), clinical pictures lacking both neurological and hematological manifestations have been reported. Moreover, prominent skin involvement, such as with relapsing erythema nodosum, is not a common finding. Up to this moment, no genotype and phenotype correlation could be done, but mild phenotypes seem to be located in the N or C part. B-cell deficiency is a hallmark of SIFD syndrome, and multiple others immunological defects have been reported, but not high levels of double negative T cells. Here we report a Brazilian patient with a novel phenotype of SFID syndrome, carrying multiple immune defects and harboring a novel mutation on TRNT1 gene.https://www.frontiersin.org/articles/10.3389/fimmu.2021.586320/fullSIFDrecurrent fevererythema nodosumB-cell deficiencyTRNT1
spellingShingle Leonardo Oliveira Mendonca
Leonardo Oliveira Mendonca
Alex Isidoro Prado
Izelda Maria Carvalho Costa
Marcia Bandeira
Rafael Dyer
Samar Freschi Barros
Karen Francine Khöler
Luiz Augusto Marcondes Fonseca
Jorge Kalil
Fabio Morato Castro
Myrthes Anna Maragna Toledo-Barros
Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome
Frontiers in Immunology
SIFD
recurrent fever
erythema nodosum
B-cell deficiency
TRNT1
title Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome
title_full Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome
title_fullStr Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome
title_full_unstemmed Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome
title_short Case Report: Expanding Clinical, Immunological and Genetic Findings in Sideroblastic Anemia With Immunodeficiency, Fevers and Development Delay (SIFD) Syndrome
title_sort case report expanding clinical immunological and genetic findings in sideroblastic anemia with immunodeficiency fevers and development delay sifd syndrome
topic SIFD
recurrent fever
erythema nodosum
B-cell deficiency
TRNT1
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.586320/full
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