AUTHOR=Li Xiao , Tang Yu , Zhang Lei , Wang Yuan , Zhang Weihua , Wang Ying , Shen Yuelin , Tang Xiaolei TITLE=Case report: COPA syndrome with interstitial lung disease, skin involvement, and neuromyelitis spectrum disorder JOURNAL=Frontiers in Pediatrics VOLUME=11 YEAR=2023 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1118097 DOI=10.3389/fped.2023.1118097 ISSN=2296-2360 ABSTRACT=

This report describes a case of a 22 months Chinese boy with COPA syndrome bearing the c.715G > C (p.A239P) genotype. In addition to interstitial lung diseae, he also suffered from recurrent chilblain-like rashes, which has not been previously reported, and neuromyelitis optica spectrum disorder (NMOSD), which is a very rare phenotype. Clinical manifestations expanded the phenotype of COPA syndrome. Notably, there is no definitive treatment for COPA syndrome. In this report, the patient has achieved short-term clinical improvement with sirolimus.