Table 2.

Frequency of Physical, Radiographic, and Laboratory Features in Individuals with Schimke Immunoosseous Dysplasia Confirmed on Molecular Testing

Feature% of Persons
w/Feature
Comment
Skeletal features Disproportionate short stature~99%Prenatal onset (IUGR) in 70%
Vertebral anomalies>75%Ovoid shaped; dorsal flattening
Hypoplastic pelvis65%
Epiphyseal dysplasia~90%
Renal disease Proteinuria or nephropathy99%Steroid resistant
FSGS83%
Immune deficiency T cell deficiency80%
Neutropenia~40%Bone marrow hypoplasia of neutrophil lineage may occur w/normal peripheral blood neutrophil counts.
Recurrent infections60%-80%
Autoimmune disease Anemia~60%May also be secondary to bone marrow failure
Thrombocytopenia25%
OtherRareEnteropathy, pericarditis
Physical features Characteristic facial features~90%Triangular facies; wide, depressed nasal bridge, broad nasal tip
Hyperpigmented macules70%
Fine &/or sparse hair63%
Dental anomalies>60%Microdontia, hypodontia
Corneal opacities~25%
Development Developmental delay34%
Academic delay28%
Vasculature Headaches47%
TIAs41%
Strokes43%
Endocrine Hypothyroidism~50%
Hematologic Bone marrow failure5%-10%Contributes to neutropenia, anemia, & thrombocytopenia
Lymphoproliferative
disease / Malignancy
Lymphoma/leukemia (ALL)<10%
Osseous solid tumorsRare

ALL = acute lymphoblastic leukemia; FSGS = focal segmental glomerulosclerosis; IUGR = intrauterine growth restriction; TIAs = transient ischemic attacks

From: Schimke Immunoosseous Dysplasia

Cover of GeneReviews®
GeneReviews® [Internet].
Adam MP, Feldman J, Mirzaa GM, et al., editors.
Seattle (WA): University of Washington, Seattle; 1993-2024.
Copyright © 1993-2024, University of Washington, Seattle. GeneReviews is a registered trademark of the University of Washington, Seattle. All rights reserved.

GeneReviews® chapters are owned by the University of Washington. Permission is hereby granted to reproduce, distribute, and translate copies of content materials for noncommercial research purposes only, provided that (i) credit for source (http://www.genereviews.org/) and copyright (© 1993-2024 University of Washington) are included with each copy; (ii) a link to the original material is provided whenever the material is published elsewhere on the Web; and (iii) reproducers, distributors, and/or translators comply with the GeneReviews® Copyright Notice and Usage Disclaimer. No further modifications are allowed. For clarity, excerpts of GeneReviews chapters for use in lab reports and clinic notes are a permitted use.

For more information, see the GeneReviews® Copyright Notice and Usage Disclaimer.

For questions regarding permissions or whether a specified use is allowed, contact: ude.wu@tssamda.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.