Table 3

Clinical features suggestive of CANDLE/PRAAS, SAVI and AGS

Systemic inflammation
CANDLE/PRAAS, SAVI, AGS Clinical features : Recurrent fever, hepatosplenomegaly
Laboratory features: Elevated CRP, ESR and IFN signature
Skin manifestations
CANDLE/PRAAS Neutrophilic panniculitis, nodular rashes, violaceous annular rashes, lipodystrophy
SAVI Vasculopathy (ie, chilblain lesions, acral ischaemia ranging from Raynaud’s phenomenon to gangrene), loss of digits
AGS Chilblain lesions, acral lesions (including Raynaud’s phenomenon), panniculitis
Neurological manifestations
CANDLE/PRAAS Clinical features : Headache, cognitive impairment
Lumbar puncture : Sterile pleocytosis
Neuroimaging: Basal ganglia calcifications
SAVI Neuroimaging: Basal ganglia calcifications (rare)
AGS Clinical features : Subacute or acute onset of neurologic symptoms including developmental delay, irritability, neurological impairment or regression, dystonia and spasticity, focal motor findings, progressive microcephaly, seizures
Lumbar puncture : Sterile pleocytosis, elevated CSF neopterin and tetrahydrobiopterin, elevated interferon alpha
Neuroimaging : Leukoencephalopathy, cerebral calcifications, early and rapid cerebral atrophy with or without calcification, Moyamoya disease*
Pulmonary manifestations
CANDLE/PRAAS Pulmonary hypertension without fibrosis
SAVI Interstitial lung disease with or without secondary pulmonary hypertension
AGS Pulmonary hypertension
Hepatic manifestations
CANDLE/PRAAS Elevated transaminases, hepatic steatosis
AGS Elevated transaminases, autoimmune hepatitis
Metabolic and endocrine manifestations
CANDLE/PRAAS Hypertension, hyperlipidaemia, glucose intolerance (=metabolic syndrome)
AGS Hypothyroidism, diabetes insipidus, diabetes
Musculoskeletal manifestations
CANDLE/PRAAS,
SAVI, AGS
Myositis
CANDLE/PRAAS,
SAVI, AGS
Arthritis, joint contractures
Growth and development
CANDLE/PRAAS,
SAVI, AGS
Growth retardation, osteoporosis, bone development delay, pubertal delay
Haematological manifestations
CANDLE/PRAAS,
SAVI, AGS
Anaemia, leucopenia, lymphopenia and/or thrombocytopenia
Ophthalmologic manifestations
CANDLE/PRAAS Episcleritis and keratitis
SAVI, AGS Retinopathy, glaucoma
Cardiac manifestations
AGS Cardiomyopathy, valve calcifications
  • *Vasculopathy characterised by progressive narrowing of the terminal intracranial portion of the internal carotid artery and circle of Willis.

  • AGS, Aicardi-Goutières syndrome; CANDLE/PRAAS, chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature/proteasome-associated autoinflammatory syndrome; CRP, C-reactive protein; CSF, cerebrospinal fluid; ESR, erythrocyte sedimentation rate; IFN, interferon; SAVI, STING-associated vasculopathy with onset in Infancy.