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Systemic lupus erythematosus in a girl with PTEN variant and transaldolase deficiency: a novel phenotype

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Abstract

Genetic defect of phosphatase and tensin homolog (PTEN) gene might play a role in B cell hyperactivity and result in the development of systemic lupus erythematosus (SLE), while transaldolase deficiency has a spectrum of clinical features including autoimmune endocrinopathy. Herein, we identified a novel phenotype in a girl presenting with clinical and laboratory findings consistent with SLE. Exome sequencing identified pathogenic heterozygous variant in PTEN gene (NM_000314: exon 6: c.518G > C: p. R173P) and homozygous variant in TALDO1 gene (NM_006755: exon 6: c.793C del: p. Q265f). Our report highlights the association of PTEN mutation and autoimmunity and the possibility that transaldolase deficiency may be indirectly involved in the development of SLE.

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Acknowledgments

We thank our patient and her family for collaboration in this study.

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Correspondence to Sulaiman M. Al-Mayouf.

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All procedures described in this manuscript were performed in accordance with the ethical standards. Informed consent was obtained from the patient’s parents for blood and urine tests. Furthermore, informed consent has been obtained from the parents to access and collect data from the medical record to be used in scientific publications.

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Al-Mayouf, S.M., AlTassan, R.S. & AlOwain, M.A. Systemic lupus erythematosus in a girl with PTEN variant and transaldolase deficiency: a novel phenotype. Clin Rheumatol 39, 3511–3515 (2020). https://doi.org/10.1007/s10067-020-05205-1

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