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Haslak F, Kilic H, Sahin S, Hotaman B, Cebi NM, Yildiz M, Adrovic A, Gunalp A, Konte EK, Aslan E, Gul U, Akay N, Zindar Y, Ulug F, Guler S, Kiykim A, Aydemir S, Barut K, Saltik S, Cokugras HC, Kasapcopur O. Children With Type I Interferonopathy: Commonalities and Diversities in a Large Patient Cohort. J Rheumatol 2024; 51:1208-1217. [PMID: 39089832 DOI: 10.3899/jrheum.2024-0294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/11/2024] [Indexed: 08/04/2024]
Abstract
OBJECTIVE This study aimed to provide a comprehensive overview of the clinical features, laboratory and screening results, treatment options, and outcomes of patients with type I interferonopathy. Our secondary goal was to identify the predictors of long-term morbidity or mortality. METHODS We included children with genetically confirmed type I interferonopathies, with a follow-up duration of > 1 year. Data were obtained retrospectively from medical records. RESULTS Of the 40 eligible patients for the study, 52.5% were female, with a median age of disease onset of 1.5 years (range 0.1-13.2 yrs). They were diagnosed at an average age of 6.8 (SD 4.6) years. Aicardi-Goutières syndrome was the most common diagnosis (n = 15, 37.5%). The central nervous system was the most frequently affected system (n = 27, 67.5%). Janus kinase inhibitors were administered to 17 (42.5%) patients. Twenty-five patients (62.5%) developed at least 1 permanent morbidity or died during follow-up; thus, they were included in the poor outcome group. Although younger age at disease onset, intracranial calcification (ICC), and lack of chilblains and elevated acute-phase reactants were significant in univariate logistic regression analysis, only ICC on magnetic resonance imaging at admission (adjusted odds ratio 19.69, 95% CI 1.08-359.05, P = 0.04) was found to be a significant predictor of poor outcomes in multivariate logistic regression analysis. CONCLUSION For the first time, we evaluated the predictors of poor outcomes in patients with type I interferonopathy with a broad spectrum of subtypes. Further, our study's unique patient characteristics can provide valuable insights into these extremely rare conditions.
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Affiliation(s)
- Fatih Haslak
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Huseyin Kilic
- H. Kilic, MD, Y. Zindar, MD, F. Ulug, MD, S. Guler, MD, S. Saltik, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Neurology
| | - Sezgin Sahin
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Busra Hotaman
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Nur Memnune Cebi
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Mehmet Yildiz
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Amra Adrovic
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Aybuke Gunalp
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Elif Kilic Konte
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Esma Aslan
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Umit Gul
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Nergis Akay
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Yilmaz Zindar
- H. Kilic, MD, Y. Zindar, MD, F. Ulug, MD, S. Guler, MD, S. Saltik, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Neurology
| | - Fitnat Ulug
- H. Kilic, MD, Y. Zindar, MD, F. Ulug, MD, S. Guler, MD, S. Saltik, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Neurology
| | - Serhat Guler
- H. Kilic, MD, Y. Zindar, MD, F. Ulug, MD, S. Guler, MD, S. Saltik, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Neurology
| | - Ayca Kiykim
- A. Kiykim, MD, S. Aydemir, MD, H.C. Cokugras, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Allergy, and Immunology, Istanbul, Turkey
| | - Sezin Aydemir
- A. Kiykim, MD, S. Aydemir, MD, H.C. Cokugras, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Allergy, and Immunology, Istanbul, Turkey
| | - Kenan Barut
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology
| | - Sema Saltik
- H. Kilic, MD, Y. Zindar, MD, F. Ulug, MD, S. Guler, MD, S. Saltik, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Neurology
| | - Haluk C Cokugras
- A. Kiykim, MD, S. Aydemir, MD, H.C. Cokugras, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Allergy, and Immunology, Istanbul, Turkey
| | - Ozgur Kasapcopur
- F. Haslak, MD, S. Sahin, MD, B. Hotaman, MD, N.M. Cebi, MD, M. Yildiz, MD, A. Adrovic, MD, A. Gunalp, MD, E. Kilic Konte, MD, E. Aslan, MD, U. Gul, MD, N. Akay, MD, K. Barut, MD, O. Kasapcopur, MD, Istanbul University-Cerrahpasa Cerrahpasa Medical School, Department of Pediatric Rheumatology;
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