Dysregulation of the immune system in Aicardi-Goutières syndrome: Another example in a TREX1-mutated patient

I. Olivieri, M. Cattalini, D. Tonduti, R. La Piana, C. Uggetti, J. Galli, A. Meini, A. Tincani, D. Moratto, E. Fazzi, U. Balottin, S. Orcesi

Research output: Contribution to journalArticle

Abstract

Aicardi-Goutières syndrome (AGS) is a rare genetic encephalopathy characterized by neurological and extraneurological involvement. A clinical overlap between AGS and systemic lupus erythematosus (SLE) has been reported. We describe an AGS patient who developed autoimmune manifestations: thyroiditis, cANCA positivity, antiphospholipid antibodies and cerebral ischemia. This first description of antiphospholipid syndrome in a TREX1-mutated patient further expands the clinical spectrum of AGS. Although the clinical overlap with SLE may indicate common pathogenic mechanisms, the autoimmune manifestations in AGS are so extensive that we suggest they should be considered a clinical feature of the disease, rather than a sign of coexistent SLE.

Original languageEnglish
Pages (from-to)1064-1069
Number of pages6
JournalLupus
Volume22
Issue number10
DOIs
Publication statusPublished - Sep 2013

Keywords

  • Aicardi-Goutières syndrome
  • antiphospholipid syndrome
  • autoimmune
  • systemic lupus erythematosus
  • TREX1

ASJC Scopus subject areas

  • Rheumatology

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    Olivieri, I., Cattalini, M., Tonduti, D., Piana, R. L., Uggetti, C., Galli, J., Meini, A., Tincani, A., Moratto, D., Fazzi, E., Balottin, U., & Orcesi, S. (2013). Dysregulation of the immune system in Aicardi-Goutières syndrome: Another example in a TREX1-mutated patient. Lupus, 22(10), 1064-1069. https://doi.org/10.1177/0961203313498800