Information on RILDBC2

Name: FARSA deficiency | Acronym: RILDBC2
Alt. names: Rajab interstitial lung disease with brain calcifications 2

Gene: FARSA | MOI: Autosomal recessive | Mechanism of action:

No. of cases in DB: 0 | First reported in: 2019

Last updated on: 2024-02-07 15:34:32 by Andrés Caballero-Oteyza

OMIM: 619013

Orphanet: -

MONDO: -

DOID: -

ClinGen:

Description

Condition first reported in 2019 in one case with interstitial lung disease, brain calcifications, pneumonitis, growth delay, hypotonia, and liver dysfunction (PMIDs: 31355908). Charbit-Henrion et al. reported in 2022 signs of systemic inflammation in 4 children from 2 consanguineous families with significantly reduced PheRS-mediated aminoacylation activity. All 4 patients showed dysmorphic features, growth retardation, hypoalbuminemia, and an inflammatory profile associated with autoimmunity. Additional features included sevre diarrhea, hepatomegaly, portal hepatitis with moderate fibrosis and steatosis, polypnea, digital clubbing, cough, interstitial lung disease evolving to fibrosis and respiratory failure (PMID:35132614).

Management

JAK inhibition improved lung disease in one patient (PMID:35132614)

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Summary of clinical findings

[Considering only Definitive and Possible cases]

Rank Clinical phenotype Present Absent Unreported
1 Interstitial lung diseasearrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
2 Arachnodactylyarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
3 Cougharrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
4 Decreased muscle massarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
5 Deeply set eyearrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
6 Elevated hepatic transaminasesarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
7 Elfin faciesarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
8 Exercise intolerancearrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
9 Feeding difficulties in infancyarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
10 Generalized hypotoniaarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
11 Global developmental delayarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
12 Hepatic steatosisarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
13 Hepatosplenomegalyarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
14 Hypertriglyceridemiaarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
15 Hypoalbuminemiaarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
16 Hypopituitarismarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
17 Hypothyroidismarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
18 Joint hypermobilityarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
19 Microcephalyarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
20 Microcytic anemiaarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
21 Oligohydramniosarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
22 Periventricular cystsarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
23 Restrictive ventilatory defectarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
24 Scoliosisarrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
25 short staturearrow icon 1 (99.9%) 0 (0.0%) 0 (0.0%)
Age of onset
distribution

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Summary of treatment outcomes

[Considering only Definitive and Possible cases]

Treatment ⓘ Responses & clinical indications

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0 reported cases added to GenIA

SubjectID Sex Fam.ID AD AFM Validity Country Population Reference & Pub.code

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