AUTHOR=Strauss Timmy , Körholz Julia , Kuehn Hye Sun , Gil Silva Agustin A. , Taube Franziska , Trautmann-Grill Karolin , Stittrich Anna , Pietzsch Leonora , Wiedemuth Ralf , Wahn Volker , von Bernuth Horst , Rosenzweig Sergio D. , Fasshauer Maria , Krüger Renate , Schuetz Catharina TITLE=IKAROS—how many feathers have you lost: mild and severe phenotypes in IKZF1 deficiency JOURNAL=Frontiers in Pediatrics VOLUME=12 YEAR=2024 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2024.1345730 DOI=10.3389/fped.2024.1345730 ISSN=2296-2360 ABSTRACT=

Heterozygous germline variants in human IKZF1 encoding for IKAROS define an inborn error of immunity with immunodeficiency, immune dysregulation and risk of malignancy with a broad phenotypic spectrum. Growing evidence of underlying pathophysiological genotype-phenotype correlations helps to improve our understanding of IKAROS-associated diseases. We describe 6 patients from 4 kindreds with two novel IKZF1 variants leading to haploinsufficiency from 3 centers in Germany. We also provide an overview of first symptoms to a final diagnosis including data from the literature.