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Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024.

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Table 2.

Frequency of Physical, Radiographic, and Laboratory Features in Individuals with Schimke Immunoosseous Dysplasia Confirmed on Molecular Testing

Feature% of Persons
w/Feature
Comment
Skeletal features Disproportionate short stature~99%Prenatal onset (IUGR) in 70%
Vertebral anomalies>75%Ovoid shaped; dorsal flattening
Hypoplastic pelvis65%
Epiphyseal dysplasia~90%
Renal disease Proteinuria or nephropathy99%Steroid resistant
FSGS83%
Immune deficiency T cell deficiency80%
Neutropenia~40%Bone marrow hypoplasia of neutrophil lineage may occur w/normal peripheral blood neutrophil counts.
Recurrent infections60%-80%
Autoimmune disease Anemia~60%May also be secondary to bone marrow failure
Thrombocytopenia25%
OtherRareEnteropathy, pericarditis
Physical features Characteristic facial features~90%Triangular facies; wide, depressed nasal bridge, broad nasal tip
Hyperpigmented macules70%
Fine &/or sparse hair63%
Dental anomalies>60%Microdontia, hypodontia
Corneal opacities~25%
Development Developmental delay34%
Academic delay28%
Vasculature Headaches47%
TIAs41%
Strokes43%
Endocrine Hypothyroidism~50%
Hematologic Bone marrow failure5%-10%Contributes to neutropenia, anemia, & thrombocytopenia
Lymphoproliferative
disease / Malignancy
Lymphoma/leukemia (ALL)<10%
Osseous solid tumorsRare

ALL = acute lymphoblastic leukemia; FSGS = focal segmental glomerulosclerosis; IUGR = intrauterine growth restriction; TIAs = transient ischemic attacks

From: Schimke Immunoosseous Dysplasia

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