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Table 1 Clinical presentation in twin females with PD

From: Prolidase deficiency, a rare inborn error of immunity, clinical phenotypes, immunological features, and proposed treatments in twins

Known clinical presentation of PD

Patient 1

Patient 2

Skin manifestations

Diffuse telangiectasias

Ulceration of the feet

Telangiectasias one foot ulcer after 2 years

Dysmorphic features

 +

+ 

Intellectual disability (ID)

 + 

 + 

Recurrent infections

 + 

 + 

Coexistence autoimmunity

Euthyroid autoimmune thyroiditis

−

Allergic symptoms and atopy

−

 ++ Bronchial asthma, allergic rhinitis, eczema, food allergy

Endocrinopathies

−

−

Pulmonary manifestations

−

−

Splenomegaly/hepatomegaly

 + / + 

−/ + 

Other

 

Arthralgia and hyperlaxity

  1.  + , clinical feature present; −, clinical feature absent