nih-gov/www.ncbi.nlm.nih.gov/omim/614415

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<title>
Entry
- #614415 - CHILBLAIN LUPUS 2; CHBL2
- OMIM
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<span class="h4">#614415</span>
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<strong>Table of Contents</strong>
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<a href="#title"><strong>Title</strong></a>
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="/clinicalSynopsis/614415"><strong>Clinical Synopsis</strong></a>
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<a href="/phenotypicSeries/PS610448"> <strong>Phenotypic Series</strong> </a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#description">Description</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#clinicalFeatures">Clinical Features</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#inheritance">Inheritance</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#molecularGenetics">Molecular Genetics</a>
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<li role="presentation">
<a href="#references"><strong>References</strong></a>
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<a href="#creationDate"><strong>Creation Date</strong></a>
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<div><a href="https://clinicaltrials.gov/search?cond=(CHILBLAIN LUPUS) OR (SAMHD1)" class="mim-tip-hint" title="Clinical Trials" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
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<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>ORPHA:</strong> 481662<br />
<strong>DO:</strong> 0060386<br />
">ICD+</a>
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<span class="h3">
<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
<span class="text-danger"><strong>#</strong></span>
614415
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<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
CHILBLAIN LUPUS 2; CHBL2
</span>
</h3>
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<br />
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<h4>
<span class="mim-font">
<strong>Phenotype-Gene Relationships</strong>
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<th>
Location
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<th>
Phenotype
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<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
<th>
Gene/Locus
</th>
<th>
Gene/Locus <br /> MIM number
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/20/264?start=-3&limit=10&highlight=264">
20q11.23
</a>
</span>
</td>
<td>
<span class="mim-font">
?Chilblain lupus 2
<span class="mim-tip-hint" title="A question mark (?) indicates that the relationship between the phenotype and gene is provisional">
<span class="glyphicon glyphicon-question-sign" aria-hidden="true"></span>
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<td>
<span class="mim-font">
<a href="/entry/614415"> 614415 </a>
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<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
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<td>
<span class="mim-font">
SAMHD1
</span>
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<td>
<span class="mim-font">
<a href="/entry/606754"> 606754 </a>
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<strong> INHERITANCE </strong>
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<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Autosomal dominant <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/263681008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">263681008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/771269000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">771269000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0443147&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0443147</a>, <a href="https://bioportal.bioontology.org/search?q=C1867440&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1867440</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span><br />
</span>
</div>
</div>
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<div>
<div>
<span class="h5 mim-font">
<strong> SKIN, NAILS, & HAIR </strong>
</span>
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<div style="margin-left: 2em;">
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<div>
<span class="h5 mim-font">
<em> Skin </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Painful bluish-red papules or nodules (fingers, toes, nose, cheek, ears) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1968882&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1968882</a>]</span><br /> -
Cutaneous photosensitivity <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/90128006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">90128006</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0349506&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0349506</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000992" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000992</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000992" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000992</a>]</span><br /> -
Angiomatous lesions on the fingers, persistent <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3280723&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3280723</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Skin Histology </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Lymphocytic vasculitis <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3280724&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3280724</a>]</span><br /> -
Papillary dermal edema <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3280725&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3280725</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:6000263" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:6000263</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:6000263" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:6000263</a>]</span><br /> -
Interface dermatitis <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/58398000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">58398000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0262981&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0262981</a>]</span><br /> -
Keratinocyte necrosis <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1168187&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1168187</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MISCELLANEOUS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Onset in early childhood<br /> -
Phenotype is worsened by cold temperature<br /> -
One family has been reported (as of January 2012)<br />
</span>
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<div>
<span class="h5 mim-font">
<strong> MOLECULAR BASIS </strong>
</span>
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<div>
<span class="mim-font">
- Caused by mutation in the SAM domain- and HD domain-containing protein 1 gene (SAMHD1, <a href="/entry/606754#0011">606754.0011</a>)<br />
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<h5>
Chilblain lupus
- <a href="/phenotypicSeries/PS610448">PS610448</a>
- 2 Entries
</h5>
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<div class="row" style="margin-left: 0.125em; margin-right: 0.125em;">
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<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Location</strong>
</th>
<th class="col-lg-5 col-md-5 col-sm-5 col-xs-6 text-nowrap">
<strong>Phenotype</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Inheritance</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />mapping key</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />MIM number</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus<br />MIM number</strong>
</th>
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<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/281?start=-3&limit=10&highlight=281"> 3p21.31 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610448"> Chilblain lupus </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610448"> 610448 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606609"> TREX1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606609"> 606609 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/20/264?start=-3&limit=10&highlight=264"> 20q11.23 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614415"> ?Chilblain lupus 2 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614415"> 614415 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606754"> SAMHD1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606754"> 606754 </a>
</span>
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<p>A number sign (#) is used with this entry because of evidence that chilblain lupus-2 (CHBL2) is caused by heterozygous mutation in the SAMHD1 gene (<a href="/entry/606754">606754</a>) on chromosome 20q11. One such family has been reported.</p>
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<strong>Description</strong>
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<p>Chilblain lupus is a rare cutaneous form of systemic lupus erythematosus (SLE; <a href="/entry/152700">152700</a>) characterized by tender, bluish-red swellings and nodules on the hands, feet, ears, and nose, with histologic changes of lupus. The phenotype is induced by cold, such that patients frequently report a worsening of lesions in the winter months (summary by <a href="#1" class="mim-tip-reference" title="Ravenscroft, J. C., Suri, M., Rice, G. I., Szynkiewicz, M., Crow, Y. J. &lt;strong&gt;Autosomal dominant inheritance of a heterozygous mutation in SAMHD1 causing familial chilblain lupus. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 155A: 235-237, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21204240/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21204240&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.33778&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21204240">Ravenscroft et al., 2011</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21204240" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>For a general description and a discussion of genetic heterogeneity of chilblain lupus, see CHBL1 (<a href="/entry/610448">610448</a>).</p>
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<strong>Clinical Features</strong>
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<p><a href="#1" class="mim-tip-reference" title="Ravenscroft, J. C., Suri, M., Rice, G. I., Szynkiewicz, M., Crow, Y. J. &lt;strong&gt;Autosomal dominant inheritance of a heterozygous mutation in SAMHD1 causing familial chilblain lupus. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 155A: 235-237, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21204240/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21204240&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.33778&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21204240">Ravenscroft et al. (2011)</a> reported a mother and son with chilblain lupus. From the age of 4 years, the 46-year-old white mother experienced recurrent lesions, particularly prominent over the winter months, affecting her hands, feet, buttocks, and thighs. She also had sun sensitivity with a tendency to develop a sunburn-like reaction with minimal sun exposure. She developed angiomatous lesions on the fingers, which became persistent. Biopsy of chilblain skin demonstrated a florid lymphocytic vasculitis, with papillary dermal edema, interface dermatitis, and keratinocyte necrosis, consistent with lupus. She was managed with nifedipine over the winter months and hydroxychloroquine plus sun block in the summer. At age 3 months, her 15-year-old son developed chilblains on the feet, fingers, and ears. Later, he also experienced photosensitivity with a sunburn-like reaction to sunlight, and developed fixed angiomatous lesions on the fingers. Both patients were in otherwise good health. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21204240" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>The transmission pattern of chilblain lupus in the family reported by <a href="#1" class="mim-tip-reference" title="Ravenscroft, J. C., Suri, M., Rice, G. I., Szynkiewicz, M., Crow, Y. J. &lt;strong&gt;Autosomal dominant inheritance of a heterozygous mutation in SAMHD1 causing familial chilblain lupus. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 155A: 235-237, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21204240/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21204240&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.33778&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21204240">Ravenscroft et al. (2011)</a> was consistent with autosomal dominant inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21204240" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>Molecular Genetics</strong>
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<p>In a mother and son with chilblain lupus, <a href="#1" class="mim-tip-reference" title="Ravenscroft, J. C., Suri, M., Rice, G. I., Szynkiewicz, M., Crow, Y. J. &lt;strong&gt;Autosomal dominant inheritance of a heterozygous mutation in SAMHD1 causing familial chilblain lupus. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 155A: 235-237, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21204240/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21204240&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.33778&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21204240">Ravenscroft et al. (2011)</a> identified a heterozygous mutation in the SAMHD1 gene (I201N; <a href="/entry/606754#0011">606754.0011</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21204240" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>REFERENCES</strong>
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<a id="Ravenscroft2011" class="mim-anchor"></a>
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Ravenscroft, J. C., Suri, M., Rice, G. I., Szynkiewicz, M., Crow, Y. J.
<strong>Autosomal dominant inheritance of a heterozygous mutation in SAMHD1 causing familial chilblain lupus. (Letter)</strong>
Am. J. Med. Genet. 155A: 235-237, 2011.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/21204240/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">21204240</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21204240" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ajmg.a.33778" target="_blank">Full Text</a>]
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Creation Date:
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Cassandra L. Kniffin : 1/5/2012
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carol : 09/28/2017
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carol : 01/04/2016<br>carol : 1/11/2012<br>ckniffin : 1/5/2012
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<strong>#</strong> 614415
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CHILBLAIN LUPUS 2; CHBL2
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<strong>ORPHA:</strong> 481662; &nbsp;
<strong>DO:</strong> 0060386; &nbsp;
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<strong>Phenotype-Gene Relationships</strong>
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Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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20q11.23
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?Chilblain lupus 2
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614415
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Autosomal dominant
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3
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SAMHD1
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606754
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because of evidence that chilblain lupus-2 (CHBL2) is caused by heterozygous mutation in the SAMHD1 gene (606754) on chromosome 20q11. One such family has been reported.</p>
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<strong>Description</strong>
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<p>Chilblain lupus is a rare cutaneous form of systemic lupus erythematosus (SLE; 152700) characterized by tender, bluish-red swellings and nodules on the hands, feet, ears, and nose, with histologic changes of lupus. The phenotype is induced by cold, such that patients frequently report a worsening of lesions in the winter months (summary by Ravenscroft et al., 2011). </p><p>For a general description and a discussion of genetic heterogeneity of chilblain lupus, see CHBL1 (610448).</p>
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<p>Ravenscroft et al. (2011) reported a mother and son with chilblain lupus. From the age of 4 years, the 46-year-old white mother experienced recurrent lesions, particularly prominent over the winter months, affecting her hands, feet, buttocks, and thighs. She also had sun sensitivity with a tendency to develop a sunburn-like reaction with minimal sun exposure. She developed angiomatous lesions on the fingers, which became persistent. Biopsy of chilblain skin demonstrated a florid lymphocytic vasculitis, with papillary dermal edema, interface dermatitis, and keratinocyte necrosis, consistent with lupus. She was managed with nifedipine over the winter months and hydroxychloroquine plus sun block in the summer. At age 3 months, her 15-year-old son developed chilblains on the feet, fingers, and ears. Later, he also experienced photosensitivity with a sunburn-like reaction to sunlight, and developed fixed angiomatous lesions on the fingers. Both patients were in otherwise good health. </p>
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<strong>Inheritance</strong>
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<p>The transmission pattern of chilblain lupus in the family reported by Ravenscroft et al. (2011) was consistent with autosomal dominant inheritance. </p>
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<strong>Molecular Genetics</strong>
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<p>In a mother and son with chilblain lupus, Ravenscroft et al. (2011) identified a heterozygous mutation in the SAMHD1 gene (I201N; 606754.0011). </p>
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<strong>REFERENCES</strong>
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<li>
<p class="mim-text-font">
Ravenscroft, J. C., Suri, M., Rice, G. I., Szynkiewicz, M., Crow, Y. J.
<strong>Autosomal dominant inheritance of a heterozygous mutation in SAMHD1 causing familial chilblain lupus. (Letter)</strong>
Am. J. Med. Genet. 155A: 235-237, 2011.
[PubMed: 21204240]
[Full Text: https://doi.org/10.1002/ajmg.a.33778]
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<span class="mim-text-font">
Cassandra L. Kniffin : 1/5/2012
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Edit History:
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carol : 09/28/2017<br>carol : 01/04/2016<br>carol : 1/11/2012<br>ckniffin : 1/5/2012
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