Information on TLIND

Name: T-cell lymphopenia with or without nail dystrophy, AD | Acronym: TLIND
Alt. names: FOXN1 haploinsufficiency

Gene: FOXN1 | MOI: Autosomal dominant | Mechanism of action: Haploinsufficiency

No. of cases in DB: 71 | First reported in: 2005

Last updated on: 2023-04-01 by Xiao P. Peng

OMIM: 618806

Orphanet: 169095

MONDO: 0032928

DOID: -

ClinGen:

Description

To date, 61 patients from 58 families have been described with heterozygous loss-of-function FOXN1 variants resulting in FOXN1 haploinsufficiency associated with low TREC levels and T cell lymphopenia at birth that progressively improves with age (PMID: 15897400, 31566583, 31447097). Nail dystrophy, recurrent sinorespiratory tract infections (predominantly viral), evidence of thymic hypoplasia or aplasia on imaging, dental caries, dermatitis and skin rashes, and hair abnormalities were the most common findings. A minority of patients also suffered from recurrent GI infections and mucocutaneous candidiasis. Immunophenotyping was notable for persistent lymphopenia during infancy affecting predominantly CD8+ T cells, decreased lymphocyte proliferative responses to mitogens, and abnormal numbers of B and NK cells in a minority of patients. One or few patients additionally had intellectual disability, failure-to-thrive, variable inflammatory findings, and congenital anomalies such as ventricular septal defects, polydactyly, Arnold-Chiari malformation, and tracheoesophageal fistula. Most adults showed normal CD4+ T cell counts but a lower than normal proportion of naive CD4+ T cells, suggesting that normalization of total CD4+ T cell count with age is contributed by homeostatic proliferation.

Management

Anti-microbial prophylaxis and early and aggressive treatment of infections may be beneficial. HSCT is unlikely to be a curative treatment given the thymus-intrinsic defect. Indeed, of the three patients receiving HSCT before molecular diagnosis, two remained T cell lymphopenic after transplant despite successful engraftment and a third died of transplant-related complications 2 years post-HSCT. Given the normalization of T cell lymphopenia over time, it remains to be seen whether thymic transplant may be needed in severe cases.

Summary of clinical findings

[Considering only Definitive and Possible cases]

Rank Clinical phenotype Present Absent Unreported
1 Lymphopeniaarrow icon 66 (97.1%) 2 (2.9%) 0 (0.0%)
2 Reduced T cell countarrow icon 66 (97.1%) 2 (2.9%) 0 (0.0%)
3 Abnormal T cell countarrow icon 66 (97.1%) 2 (2.9%) 0 (0.0%)
4 Abnormality of the nailarrow icon 32 (47.1%) 33 (48.5%) 3 (4.4%)
5 Nail dystrophyarrow icon 32 (47.1%) 33 (48.5%) 3 (4.4%)
6 Abnormal lymphocyte countarrow icon 24 (35.3%) 5 (7.4%) 39 (57.4%)
7 Recurrent upper respiratory tract infectionsarrow icon 19 (27.9%) 0 (0.0%) 49 (72.1%)
8 Increased inflammatory responsearrow icon 15 (22.1%) 1 (1.5%) 52 (76.5%)
9 Recurrent respiratory infectionsarrow icon 13 (19.1%) 0 (0.0%) 55 (80.9%)
10 Aplasia/Hypoplasia of the thymusarrow icon 13 (19.1%) 1 (1.5%) 54 (79.4%)
11 Dermatitisarrow icon 11 (16.2%) 2 (2.9%) 55 (80.9%)
12 (unusual) Respiratory tract infectionarrow icon 9 (13.2%) 30 (44.1%) 29 (42.7%)
13 Eczemaarrow icon 9 (13.2%) 0 (0.0%) 59 (86.8%)
14 Carious teetharrow icon 7 (10.3%) 0 (0.0%) 61 (89.7%)
15 Lung diseasearrow icon 7 (10.3%) 2 (2.9%) 59 (86.8%)
16 Thymus aplasiaarrow icon 7 (10.3%) 0 (0.0%) 61 (89.7%)
17 Abnormal NK cell countarrow icon 7 (10.3%) 28 (41.2%) 33 (48.5%)
18 Pneumoniaarrow icon 7 (10.3%) 2 (2.9%) 59 (86.8%)
19 Abnormality of dental structurearrow icon 7 (10.3%) 0 (0.0%) 61 (89.7%)
20 Thymus hypoplasiaarrow icon 6 (8.8%) 1 (1.5%) 61 (89.7%)
21 Alopeciaarrow icon 6 (8.8%) 6 (8.8%) 56 (82.4%)
22 Abnormal hair quantityarrow icon 6 (8.8%) 6 (8.8%) 56 (82.4%)
23 Past medical historyarrow icon 5 (7.4%) 0 (0.0%) 63 (92.7%)
24 Hematopoietic stem cell transplantationarrow icon 5 (7.4%) 0 (0.0%) 63 (92.7%)
25 Past surgical historyarrow icon 5 (7.4%) 0 (0.0%) 63 (92.7%)
26 Abnormal lymphoproliferationarrow icon 5 (7.4%) 8 (11.8%) 55 (80.9%)
27 Abnormal paranasal sinus morphologyarrow icon 4 (5.9%) 0 (0.0%) 64 (94.1%)
28 Sinusitisarrow icon 4 (5.9%) 0 (0.0%) 64 (94.1%)
29 Otitis mediaarrow icon 4 (5.9%) 0 (0.0%) 64 (94.1%)
30 Abnormality of the middle eararrow icon 4 (5.9%) 0 (0.0%) 64 (94.1%)
31 Decreased lymphocyte proliferation in response to mitogensarrow icon 4 (5.9%) 8 (11.8%) 56 (82.4%)
32 Abnormally low T cell receptor excision circle levelarrow icon 4 (5.9%) 0 (0.0%) 64 (94.1%)
33 Reduced NK cell numberarrow icon 4 (5.9%) 31 (45.6%) 33 (48.5%)
34 Reduced number of B cellsarrow icon 4 (5.9%) 35 (51.5%) 29 (42.7%)
35 Enteropathyarrow icon 4 (5.9%) 3 (4.4%) 61 (89.7%)
36 Diarrheaarrow icon 4 (5.9%) 3 (4.4%) 61 (89.7%)
37 (unusual) Viral infectionarrow icon 4 (5.9%) 0 (0.0%) 64 (94.1%)
38 Abnormal B cell countarrow icon 4 (5.9%) 35 (51.5%) 29 (42.7%)
39 Abdominal symptomarrow icon 4 (5.9%) 3 (4.4%) 61 (89.7%)
40 Atopic dermatitisarrow icon 3 (4.4%) 0 (0.0%) 65 (95.6%)
41 RSV bronchiolitisarrow icon 3 (4.4%) 0 (0.0%) 65 (95.6%)
42 Abnormal hair morphologyarrow icon 3 (4.4%) 10 (14.7%) 55 (80.9%)
43 Decreased body weightarrow icon 3 (4.4%) 3 (4.4%) 62 (91.2%)
44 Atopyarrow icon 3 (4.4%) 0 (0.0%) 65 (95.6%)
45 Failure to thrivearrow icon 3 (4.4%) 3 (4.4%) 62 (91.2%)
46 Bronchiolitisarrow icon 3 (4.4%) 0 (0.0%) 65 (95.6%)
47 Abnormality of skin adnexa morphologyarrow icon 3 (4.4%) 10 (14.7%) 55 (80.9%)
48 Increased NK cell numberarrow icon 3 (4.4%) 0 (0.0%) 65 (95.6%)
49 Unusual infection by anatomical sitearrow icon 2 (2.9%) 28 (41.2%) 38 (55.9%)
50 Persistent viremiaarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
51 Neonatal omphalitisarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
52 Recurrent lower respiratory tract infectionsarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
53 Gastrointestinal inflammationarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
54 Severe Norovirus infectionarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
55 Mucocutaneous candidiasisarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
56 Psoriasiform dermatitisarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
57 Diabetes mellitusarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
58 Type I diabetes mellitusarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
59 Ventricular septal defectarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
60 Candidiasisarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
61 Autoimmunityarrow icon 2 (2.9%) 3 (4.4%) 63 (92.7%)
62 Fine hairarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
63 Recurrent viral infectionsarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
64 (unusual) Cytomegalovirus infectionarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
65 Immune dysregulationarrow icon 2 (2.9%) 3 (4.4%) 63 (92.7%)
66 Abnormal ventricular septum morphologyarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
67 Abnormality of hair texturearrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
68 Skin rasharrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
69 Abnormality of the umbilical cordarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
70 Abnormality of immune system physiologyarrow icon 2 (2.9%) 3 (4.4%) 63 (92.7%)
71 Functional abnormality of the gastrointestinal tractarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
72 Persistent EBV viremiaarrow icon 2 (2.9%) 0 (0.0%) 66 (97.1%)
73 Red eyearrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
74 Abnormality of cardiovascular system electrophysiologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
75 Abnormal B cell proliferationarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
76 Colitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
77 (unusual) Skin infectionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
78 Increased blood pressurearrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
79 Abnormal conjunctiva morphologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
80 Recurrent viral upper respiratory tract infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
81 Eosinophiliaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
82 B-cell lymphomaarrow icon 1 (1.5%) 4 (5.9%) 63 (92.7%)
83 Thrombocytopeniaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
84 Rosaceaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
85 Inflammatory abnormality of the eyearrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
86 Malabsorptionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
87 Osteoporosisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
88 Seborrheic dermatitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
89 Abnormality of prenatal development or birtharrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
90 Unusual virus reactivationarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
91 Abnormal joint morphologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
92 Intellectual disabilityarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
93 Severe viral infectionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
94 Abnormality of toearrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
95 Foot polydactylyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
96 Abnormal esophagus morphologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
97 Arnold-Chiari malformationarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
98 Cerebellar malformationarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
99 Leukocytosisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
100 Tracheoesophageal fistulaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
101 (unusual) Bacterial infectionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
102 Recurrent infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
103 Recurrent enteroviral infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
104 Abnormal trachea morphologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
105 Viral hepatitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
106 Melanomaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
107 Pituitary adenomaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
108 Integumentary and exocrine system abnormalityarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
109 Skeletal system abnormalityarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
110 Skin abnormalityarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
111 Anemiaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
112 Herpes Simplex Virus Infectionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
113 Abnormal immunoglobulin levelarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
114 Conjunctivitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
115 Reduced bone mineral densityarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
116 Enterocolitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
117 (unusual) Epstein-Barr virus infectionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
118 Recurrent Haemophilus influenzae infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
119 Recurrent gram-negative bacterial infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
120 Hepatitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
121 Premature birtharrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
122 Hepatitis Barrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
123 Encephalitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
124 Cardiomyopathyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
125 Arrhythmiaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
126 Recurrent staphylococcal infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
127 Non-Hodgkin lymphomaarrow icon 1 (1.5%) 4 (5.9%) 63 (92.7%)
128 proteinuriaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
129 Abnormal retinal vascular morphologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
130 Hypogammaglobulinemiaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
131 Duplication involving bones of the feetarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
132 Bronchitisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
133 Arthritisarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
134 Abnormal eosinophil countarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
135 Abnormal platelet countarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
136 Salmonella infectionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
137 Polydactylyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
138 Molluscum contagiosumarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
139 Erythemaarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
140 Erythrodermaarrow icon 1 (1.5%) 4 (5.9%) 63 (92.7%)
141 Reduced proportion of CD4 T cellsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
142 Abnormality of skin physiologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
143 Hypertensionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
144 Abnormality of the urinary system physiologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
145 Abnormality of higher mental functionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
146 Neoplasm of the anterior pituitaryarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
147 Neoplasm by histologyarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
148 Abnormality of erythrocytesarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
149 Abnormal proportion of CD4 T cellsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
150 Recurrent urinary tract infectionsarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
151 Retinal vein occlusionarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
152 Neurodevelopmental abnormalityarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
153 Abnormal urine protein levelarrow icon 1 (1.5%) 0 (0.0%) 67 (98.5%)
154 Epicanthusarrow icon 0 (0.0%) 5 (7.4%) 63 (92.7%)
155 Abnormal eyelid morphologyarrow icon 0 (0.0%) 5 (7.4%) 63 (92.7%)
156 Abnormality of the thymusarrow icon 0 (0.0%) 2 (2.9%) 66 (97.1%)
157 Abnormality of the lymphatic systemarrow icon 0 (0.0%) 2 (2.9%) 66 (97.1%)
158 Endocrine system abnormalityarrow icon 0 (0.0%) 2 (2.9%) 66 (97.1%)
159 Unusual infectionarrow icon 0 (0.0%) 1 (1.5%) 67 (98.5%)
Age of onset
distribution

Summary of treatment outcomes

[Considering only Definitive and Possible cases]

Treatment ⓘ Responses & clinical indications
Acyclovir
[Antiviral agent]
Unspecified (1) for unspecified
Intravenous immunoglobulin therapy
Unspecified (2) for Hypogammaglobulinemia; unspecified
Antibiotics
Unspecified (1) for unspecified
Hematopoietic stem cell transplantation
Unspecified (5) for unspecified. Negative/Bad (1) for unspecified
Co-trimoxazole
[Antibiotics]
Unspecified (1) for unspecified
Antiviral agent
Unspecified (1) for unspecified

71 reported cases added to GenIA

SubjectID Sex Fam.ID AD AFM Validity Country Population Reference & Pub.code
102911arrow icon M 215012 1 0 PMID:31447097 [P1]; PMID:37419334 [P1(22)]
102912arrow icon M 215013 2 0 PMID:31447097 [P2(II.1)]; PMID:37419334 [P2(22)]
102913arrow icon M 215014 1 0 PMID:31447097 [P3]
102915arrow icon F 215016 4 0 PMID:31447097 [P4]; PMID:37419334 [P4(22)]
102916arrow icon F 215017 3 0 PMID:31447097 [P5]; PMID:37419334 [P5(22)]
102917arrow icon M 215018 1 0 PMID:31447097 [P6]; PMID:37419334 [P6(22)]
102918arrow icon F 215019 2 0 PMID:31447097 [P7]; PMID:37419334 [P7(22)]
102919arrow icon F 215020 3 0 PMID:31447097 [P8(II.1)]; PMID:37419334 [P8(22)]
102920arrow icon F 215021 4 0 PMID:31447097 [P9]; PMID:37419334 [P9(22)]
102921arrow icon M 215022 2 0 PMID:31447097 [P10]
102922arrow icon F 215023 2 0 PMID:31447097 [P11]
102923arrow icon F 215024 2 0 PMID:31447097 [P12]
102924arrow icon M 215025 4 0 PMID:31447097 [P13]
102925arrow icon M 215026 3 0 PMID:31447097 [P14]; PMID:37419334 [P14(22)]
102926arrow icon M 215027 2 0 PMID:31447097 [P15(II.1)]; PMID:37419334 [P15(22)]
102927arrow icon M 215028 1 0 PMID:31447097 [P16]; PMID:37419334 [P16(22)]
102928arrow icon M 215029 2 0 PMID:31447097 [P17]
102929arrow icon F 215030 1 0 PMID:31447097 [P18]; PMID:37419334 [P18(22)]
102930arrow icon F 215031 4 0 PMID:31447097 [P19]; PMID:37419334 [P19(22)]
102931arrow icon F 215032 1 0 PMID:31447097 [P20]; PMID:37419334 [P20(22)]
102932arrow icon M 215033 2 0 PMID:31447097 [P21]; PMID:37419334 [P21(22)]
102933arrow icon M 215034 2 0 PMID:31447097 [P22]; PMID:37419334 [P22(22)]
102934arrow icon F 215035tree icon 9 0 Definitive Belarus Caucasian PMID:31447097 [P23]; PMID:33464451 [P14(III.1)]; PMID:37419334 [P23(22)]
102935arrow icon M 215035tree icon 3 0 Definitive Belarus Caucasian PMID:31447097 [P24]; PMID:33464451 [Fam.P14:III.2(P15)]; PMID:37419334 [P15(27)]
102936arrow icon M 215037 4 0 PMID:31447097 [P25]; PMID:37419334 [P25(22)]
102937arrow icon F 215038 22 PMID:31447097 [P26]
102938arrow icon F 215013 30 PMID:31447097 [Fam.P2:I.1(P27)]
102939arrow icon F 215027 30 PMID:31447097 [Fam.P15:I.1(P28)]
102940arrow icon M 215039 29 Italy Italian PMID:31447097 [P31]; PMID:37419334 [P31(22)]
102941arrow icon F 215040 38 Italy Italian PMID:31447097 [P32]; PMID:37419334 [P32(22)]
102942arrow icon F 215041 39 Italy Italian PMID:31447097 [P33]; PMID:37419334 [P33(22)]
102943arrow icon F 215042 40 Italy Italian PMID:31447097 [P34]; PMID:37419334 [P34(22)]
102944arrow icon F 215043 41 Italy Italian PMID:31447097 [P35]; PMID:37419334 [P35(22)]
102945arrow icon F 215044 42 Italy Italian PMID:31447097 [P36]; PMID:37419334 [P36(22)]
102946arrow icon F 215045 45 Italy Italian PMID:31447097 [P37]; PMID:37419334 [P37(22)]
102947arrow icon F 215046 48 Italy Italian PMID:31447097 [P38]; PMID:37419334 [P38(22)]
102948arrow icon F 215047 53 Italy Italian PMID:31447097 [P39]; PMID:37419334 [P39(22)]
102949arrow icon M 215048 55 Italy Italian PMID:31447097 [P40]; PMID:37419334 [P40(22)]
102950arrow icon M 215049 57 Italy Italian PMID:31447097 [P41]; PMID:37419334 [P41(22)]
102951arrow icon M 215050 58 Italy Italian PMID:31447097 [P42]; PMID:37419334 [P42(22)]
102952arrow icon F 215051 59 Italy Italian PMID:31447097 [P43]; PMID:37419334 [P43(22)]
102953arrow icon F 215052 59 Italy Italian PMID:31447097 [P44]; PMID:37419334 [P44(22)]
102954arrow icon M 215053 60 Italy Italian PMID:31447097 [P45]; PMID:37419334 [P45(22)]
102955arrow icon M 215054 62 Italy Italian PMID:31447097 [P46]; PMID:37419334 [P46(22)]
102956arrow icon F 215055 69 Italy Italian PMID:31447097 [P47]; PMID:37419334 [P47(22)]
102957arrow icon F 215056 40 PMID:31447097 [P29]
102958arrow icon F 215020 40 PMID:31447097 [Fam.P8:I.1(P30)]
102968arrow icon U 215060 0 U.S.A. North American PMID:31566583 [P3]; PMID:37419334 [P3]
102969arrow icon U 215061 0 U.S.A. North American PMID:31566583 [P4]; PMID:37419334 [P4]
102970arrow icon U 215062 0 U.S.A. North American PMID:31566583 [P5]; PMID:37419334 [P5]
102971arrow icon U 215063 0 U.S.A. North American PMID:31566583 [P6]; PMID:37419334 [P6]
102972arrow icon U 215064 0 U.S.A. North American PMID:31566583 [P7]; PMID:37419334 [P7]
102973arrow icon U 215065 0 U.S.A. North American PMID:31566583 [P8]; PMID:37419334 [P8]
102974arrow icon U 215066 0 U.S.A. North American PMID:31566583 [P9]; PMID:37419334 [P9]
102975arrow icon U 215067 0 U.S.A. North American PMID:31566583 [P10]; PMID:37419334 [P10]
102976arrow icon U 215068 0 U.S.A. North American PMID:31566583 [P11]; PMID:37419334 [P11]
102977arrow icon U 215069 0 U.S.A. North American PMID:31566583 [P12]; PMID:37419334 [P12]
102978arrow icon U 215070 0 U.S.A. North American PMID:31566583 [P13]; PMID:37419334 [P13]
102979arrow icon U 215071 0 U.S.A. North American PMID:31566583 [P14]; PMID:37419334 [P14]
102980arrow icon U 215072 0 U.S.A. North American PMID:31566583 [P15]; PMID:37419334 [P15]
102981arrow icon U 215073 0 U.S.A. North American PMID:31566583 [P16]; PMID:37419334 [P16]
106153arrow icon F 215035tree icon 61 Definitive Belarus Caucasian PMID:33464451 [Fam.P14:I.1(P17)]; PMID:37419334 [P17(22)]
106155arrow icon M 215035tree icon 38 Definitive Belarus Caucasian PMID:33464451 [Fam.P14:II.2(P16)]; PMID:37419334 [P16(27)]
106156arrow icon M 215035tree icon 0 0 Definitive Belarus Caucasian PMID:33464451 [Fam.P14:III.3(P18)]; PMID:37419334 [P18(27)]
106332arrow icon F 215988tree icon 1 Definitive United Kingdom PMID:37419334 [P1(43)(II.2)]; PMID:34860543 [Fam.1:II.2(P1)]
106334arrow icon M 215988tree icon 30 Definitive United Kingdom PMID:37419334 [P3(43)(I.2)]; PMID:34860543 [Fam.1:I.2]
106335arrow icon F 215988tree icon 4 Definitive United Kingdom PMID:37419334 [P2(43)(II.1)]; PMID:34860543 [Fam.1:II.1]
106338arrow icon M 215991tree icon 0 Possible United Kingdom PMID:34860543 [Fam.2:II.2(P2)]
106813arrow icon U 216159 Definitive PMID:37419334 [P17]
106814arrow icon U 216160 Definitive PMID:37419334 [P18]
106815arrow icon U 216161 Definitive PMID:37419334 [P19]

AD: Age at genetic diagnosis; AFM: age at first manifestation; PMID: PubMed ID; GRID: GenIA reference ID (ref. not in PubMed).