Niemann-Pick type C (NPC) disease is an autosomal recessive lysosomal storage disorder caused by mutations in NPC1 or NPC2 genes. In 2009, the molecular characterization of 44 NPC Italian patients has been published. Here, we present an update of the genetic findings in 105 Italian NPC patients belonging to 83 unrelated families (77 NPC1 and 6 NPC2). NPC1 and NPC2 genes were studied following an algorithm recently published. Eighty-four different NPC1 and five NPC2 alleles were identified. Only two NPC1 alleles remained non detected. Sixty-two percent of NPC1 alleles were due to missense variants. The most frequent NPC1 mutation was the p.F284Lfs*26 (5.8% of the alleles). All NPC2 mutations were found in the homozygous state, and all but one was severe. Among newly diagnosed patients, 18 novel NPC1 mutations were identified. For more information click here.
Publications
In the context of COVID-19 pandemic and launching of the ‘COVID-19 Clinical Management Support System’, DG SANTE is organising a series of webinars to support clinicians and other healthcare professionals at the frontline who treat the patients with COVID-19. We would like to invite you and any other colleague or healthcare professional of your hospital that might be interested, to the 6th Webinar: “COVID-19: Endocrine conditions with increased risk” that will take place on Tuesday 12 May, from 18:00 to 19:00. It will feature Prof. Alberto Pereira, Prof. Elco de Koning and Prof. Wiebke Arlt. For more information click here.
Second-line treatment trends of 392 children with chronic immune thrombocytopenic purpura
Childhood chronic immune thrombocytopenic purpura (cITP) is a rare disease. In severe cases, there is no evidence for the optimal therapeutic strategy. Our aim was to describe the real-life management of non-selected children with cITP at diagnosis. Since 2004, patients less than 18 years old with cITP have been enrolled in the national prospective cohort, OBS’CEREVANCE. From 1990 to 2014, in 29 centres, 392 children were diagnosed with cITP. With a median follow-up of six years (2·0-25), 45% did not need second-line therapy, and 55% (n = 217) received one or more second lines, mainly splenectomy (n = 108), hydroxychloroquine (n = 61), rituximab (n = 61) or azathioprine (n = 40). For more information click here.
In the context of COVID-19 pandemic and launching of the ‘COVID-19 Clinical Management Support System’, DG SANTE is organising a series of webinars to support clinicians and other healthcare professionals at the frontline who treat the patients with COVID-19. DG SANTE would like to invite you and any other colleague or healthcare professional of your hospital that might be interested, to the 5th Webinar: “COVID-19 and Cardiomyopathies and Myocarditis” that will take place on Thursday 7 May, from 17:00 to 18:30. It will feature Prof. Philippe Charron and Prof. Alida LP Caforio. For more information follow the link.
The collection of presentations and posters from the 10th National Conference for Rare Diseases and Orphan Drugs has been published. You can find the collection attached as a supplement in the journal Rare Diseases and Orphan Drugs and in it you will see the presentations of all speakers, as well as materials from the poster sessions. Follow the link to access the collection.
In the context of COVID-19 pandemic and launching of the ‘COVID-19 Clinical Management Support System’, DG SANTE is organising a series of webinars to support clinicians and other healthcare professionals at the frontline who treat the patients with COVID-19. We would like to invite you and any other colleague or healthcare professional of your hospital that might be interested, to the 4th Webinar: “COVID-19 in patients with rare diseases of the respiratory system” that will take place on Thursday 30 April, from 17:00 to 18:30. It will feature Thomas Wagner, Isabel Fajak, Michael Kreuther and more. For more information click here.
In the context of COVID-19 pandemic and launching of the ‘COVID-19 Clinical Management Support System’, DG SANTE is organising a series of webinars to support clinicians and other healthcare professionals at the frontline who treat the patients with COVID-19. We would like to invite you and any other colleague or healthcare professional of your hospital that might be interested, to the 3rd Webinar: ‘COVID-19 and anti-epileptic drugs’ that will take place on Monday 27 April, from 17:00 to 18:30. It will chaired by some of the finest experts in epilepsy in the EU – Prof Alexis Arzimanoglou, Prof. Emilio Perucca, Prof. Cecilie Landmark and Prof. Eugen Trinka. For more information click here.
We report a case of a 3-year-old boy who presented with recurrent bacterial and fungal infections and a known diagnosis of partial DiGeorge (22q11.2 deletion) syndrome. The nature and severity of his infections were more than normally expected in partial DiGeorge syndrome with normal T-cell counts and T-cell proliferative response to phytohaemagglutinin. This prompted further investigation of the immune system. An abnormal neutrophil respiratory oxidative burst, but normal protein expression of the nicotinamide adenine dinucleotide phosphate (NADPH) oxidase system, led to the identification of myeloperoxidase deficiency. DiGeorge syndrome has a heterogeneous clinical phenotype and may not be an isolated diagnosis. It raises awareness of the possibility of two rare diseases occurring in a single patient and emphasises that even when a rare diagnosis is confirmed, if the clinical features remain atypical or unresponsive, then further investigation for additional cofactors is warranted. For more information click here.
This year, once again, we celebrate April 17 – World Hemophilia Day. Days before Easter, the campaign is already actively running online in the form of sharing helpful infographics and videos under the motto “Get involved too!”. A number of public figures have already recorded videos at home, sharing important information about the disease and about the patients with hemophilia. They call upon others like them to join as participants for the campaign. Each of us is invited to become involved in the distribution of information about the disease, the needs and the problems of the patients, as well as to record a short video to encourage society to be tolerant and cohesive, especially in these difficult times of social exclusion.
Hereditary transthyretin amyloidosis (hATTR) with polyneuropathy (formerly known as Familial Amyloid Polyneuropathy) is a rare disease due to mutations in the gene encoding transthyretin (TTR) and characterized by multisystem extracellular deposition of amyloid, leading to dysfunction of different organs and tissues. hATTR amyloidosis represents a diagnostic challenge for neurologists considering the great variability in clinical presentation and multiorgan involvement. Generally, patients present with polyneuropathy, but clinicians should consider the frequent cardiac, ocular and renal impairment. Especially a hypertrophic cardiomyopathy, even if usually latent, is identifiable in at least 50% of the patients. Therapeutically, current available options act at different stages of TTR production, including synthesis inhibition (liver transplantation and/or gene-silencing drugs) or tetramer TTR stabilization (TTR stabilizers), increasing survival at different disease stages. For more information click here.