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Table 1 Clinical features and blood cell characteristics of 41 Chinese children incontinentia pigmenti

From: Central nervous system anomalies in 41 Chinese children incontinentia pigmenti

Patient

Gender

Age at consul-tation

Rash time

Age of present neurological signs

EEG

MRI/CT

Retinal lesions

WBC (× 109)

EO (× 109)

EO%

PLT (× 109)

Genetic testing/family history

1

Female

12 days

At birth

No

Normal

CT: normal

Not done

12

2

16.8

627

Not done/sporadic

2

Female

20 h

At birth

No

Not done

Bilateral white matter decreased symmetrically, with CT value about 17.3–19.3HU

Not done

15.9

2.1

13.4

568

Not done/sporadic

3

Female

4 days

At birth

No

Normal

CT showed symmetrical, low-density, patchy images in the white matter and Subarachnoid hemorrhage

Normal

24.09

7.7

32

285

Not done/sporadic

4

Female

11 days

7 days

No

Normal

CT showed symmetrical, low-density, patchy images in the white matter and subarachnoid hemorrhage, with CT value about 21HU

Normal

26.7

12.2

45.8

474

Not done/sporadic

5

Male

53 days

At birth

Presented at age 50 days with delayed psychomotor development

Not done

CT showed symmetrical, low-density,

Not done

7.16

0.35

4.44

382.4

Not done/sporadic

6

Female

4 days

1 days

Presented at age 3 days with convulsions

Normal

CT showed Hypoxic-ischemic encephalopathy; MRI showed neonatal hypoxic-ischemic encephalopathy with small malacia lesions in the left frontal lobe

Not done

15.2

0.53

3.4

564

Not done/sporadic

7

Female

48 days

1 h

Presented with convulsions at age 36 days and with delayed psychomotor development at age 5 months

Multifocal spike and spike-and-wave discharges

CT showed cerebral ischemia at 20 days; MRI showed brain atrophy at 5 months

Normal

15

1.5

10

694

Not done/sporadic

8

Female

5 days

At birth

No

Normal

CT showed symmetrical, low-density, patchy images in the white matter

Retinal vascular tortuosity and telangiectasis with neovascularization

13.5

2.7

20.2

975

Not done/inherited

9

Female

3 days

At birth

No

Normal

CT showed symmetrical, low-density, patchy images in the white matter

Normal

10.3

0.8

7.4

289

Deletion of exons 4–10 of the IKBKG gene/sporadic

10

Female

12 days

At birth

No

Not done

Not done

Normal

19.7

4.8

24.2

521

Not done/inherited

11

Female

19 days

1 day

No

Not done

MRI normal

Normal

32.2

19.9

61.9

328

Not done/sporadic

12

Female

78 days

At birth

No

Not done

Not done

Normal

18.3

3.17

17.35

547

Not done/sporadic

13

Female

18 h

At birth

No

Not done

MRI showed subarachnoid hemorrhage

Not done

18.8

1.4

7.5

274

Not done/sporadic

14

Female

1 day

At birth

Presented at age 1 day with convulsions

Not done

MRI showed neonatal hypoxic-ischemic encephalopathy in the right frontal lobe, left cerebral hemisphere and right centrum semiovale

Retinal vascular tortuosity and retinal telangiectasis with hemorrhage

15.66

8.02

51.24

139

Not done/sporadic

15

Female

12 h

At birth

No

Not done

MRI normal

Retinal vascular tortuosity and retinal telangiectasis with hemorrhage

5.87

0.66

11.24

163

Deletion of exons 4–10 of the IKBKG gene/sporadic

16

Female

4 days

At birth

No

Not done

Not done

Not done

12.03

1.18

9.74

328

Deletion of exons 4–10 of the IKBKG gene/inherited

17

Female

34 days

At birth

No

Normal

MRI normal

Normal

8.3

0.95

11.44

340

Not done/inherited

18

Female

3 days

At birth

No

Not done

Not done

Not done

23.96

9.54

39.8

563

Deletion of exons 4–10 of the IKBKG gene/inherited

19

Female

3 days

At birth

No

Not done

Not done

Not done

20.7

7.9

37.7

457

Deletion of exons 4–10 of the IKBKG gene Not done/inherited

20

Male

3 days

At birth

No

Not done

Not done

Not done

12.52

3.1

24.4

435

No abnormalities were found

21

Female

24 days

28 days

No

Not done

Not done

Not done

15.5

3.3

19

420

Heterozygous mutation c.519-3_519dupCAGG

22

Female

8 days

At birth

No

Normal

MRI normal

Normal

18.81

6.1

32.5

553

Deletion of exons 4–10 of the IKBKG gene

23

Female

5 months

At birth

Presented at age 4 months with convulsions

Not available

CT showed cerebral ischemia at age 23 days; MRI showed left periventricular leukomalacia with decreased regional perfusion at 5 months

Not done

13.72

3.69

26.9

598

Not done/sporadic

24

Female

5 months

1 day

No

During waking, the right side of the brain discharges asynchronously

MRI showed right periventricular leukomalacia and small amount of subdural effusion on the forehead

Normal

10.66

0.95

8.9

338

Not done/sporadic

25

Female

2 months

At birth

No

Slightly more early discharge during sleep

MRI showed Multiple acute and subacute cerebral infarction at 2 months

Not done

15.6

1.87

12

389

Not done/sporadic

26

Female

11 days

At birth

Presented at age 11 days with convulsions

Not done

MRI normal

Familial exudative vitreoretinopathy-like changes with no V-shaped demarcations or peripheral neovascularization

28.43

14.93

52.5

403

Not done/sporadic

27

Female

5 days

At birth

No

Multifocal spikes, sharp waves

MRI showed neonatal hypoxic-ischemic encephalopathy and subdural hemorrhage of the tentorium

Normal

9.08

2.42

22.2

398

Deletion of exons 4–10 of the IKBKG gene

28

Female

3 days

At birth

No

Not done

MRI normal

Normal

10.54

2.15

20.4

335

Not done/sporadic

29

Female

3 days

At birth

No

Normal

MRI normal

Retinal vascular tortuosity and retinal telangiectasis with right retinal hemorrhage

12.72

1.27

11

203

Deletion of exons 4–10 of the IKBKG gene

30

Female

4 days

At birth

No

Not done

Not done

Not done

13.69

1.63

11.9

254

Deletion of exons 4–10 of the IKBKG gene

31

Female

5 days

At birth

No

Normal

MRI showed neonatal hypoxic-ischemic encephalopathy and Suboccipital subdural hemorrhage

Retinal vascular tortuosity and retinal telangiectasis with hemorrhage

14.18

3.31

23.4

580

Not done/sporadic

32

Female

1 days

At birth

No

Not done

Ultrasound: pairs of side ventricles of the brain white matter enhanced echo

Normal

8.38

0.61

7.3

182

Not done/sporadic

33

Female

1 days

At birth

No

Multifocal spikes, sharp waves

MRI normal

Normal

12.79

2.78

21.8

354

Deletion of exons 4–10 of the IKBKG gene

34

Female

42 days

At birth

At age 15 days presented with convulsions

Not done

MRI showed neonatal hypoxic-ischemia at age 5 days; softening and atrophy in the left frontoparietal region at age 42 days

Retinal hemorrhage and vascularization of omentum vicryl was not seen in the peripheral region

30.32

11.3

37.2

 

Not done/sporadic

35

Female

2 years and 11 months

Not know

No

Not done

MRI showed cerebellar tonsillar hypoplasia with enlarged foramen median and occipital

Reduction of the optic disc

8.13

0.76

9.3

 

Not done/sporadic

36

Female

6 months

At birth

No

Not done

Not done

Not done

18.35

0.2

0.5

832

Not done/inherited

37

Female

3 days

At birth

No

Multifocal spikes and sharp waves

MRI normal

Not done

4.22

0.9

7.4

356

Deletion of exons 4–10 of the IKBKG gene

38

Female

5 months

Not know

No

Normal

MRI showed that the bilateral ventricles, prepontine cistern, and cisterna magna were enlarged

Not done

5.55

0.04

0.7

126

Deletion of exons 4–10 of the IKBKG gene/sporadic

39

Female

19 days

At birth

No

Multifocal spikes and sharp waves

MRI showed white matter damage in the left area of cerebellar vermis and the right frontal cortex and subarachnoid hemorrhage

Normal

9.3

0.73

7.8

389

Not done/inherited

40

Male

12 days

3 days

No

Not done

MRI normal

Normal

11.42

0.79

6.9

510

Not done/sporadic

41

Male

8 months

30 days

5 days

Hypsarrhythmia, particularly in sleep stage

MRI showed leukomalacia in the periventricular region and multiple malacia foci in the bilateral thalamus and cerebellum

Not done

8.58

1.38

16.1

305

Not done/sporadic

Mean

       

15.32 ± 7.27 × 109

mean: 3.63 ± 4.46 × 109

19.30 ± 15.03%

420.16 ± 179.43 × 109

 
  1. MRI cranial magnetic resonance imaging, CT cranial computerized tomography, EEG electroencephalogram, WBC white blood cell, PLT platelet, EO eosinophil, EO% eosinophil percentage