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.