{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:22:12Z","timestamp":1747146132906,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["DP5OD033357"],"award-info":[{"award-number":["DP5OD033357"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J of Med Genetics Pt A"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Subdural hemorrhages (SDHs) in children are most often observed in abusive head trauma (AHT), a distinct form of traumatic brain injury, but they may occur in other conditions as well, typically with clear signs and symptoms of an alternative diagnosis. We present a case of an infant whose SDH initially raised the question of AHT, but multidisciplinary evaluation identified multiple abnormalities, including rash, macrocephaly, growth failure, and elevated inflammatory markers, which were all atypical for trauma. These, along with significant cerebral atrophy, ventriculomegaly, and an absence of other injuries, raised concerns for a genetic disorder, prompting genetic consultation. Clinical trio exome sequencing identified a de novo likely pathogenic variant in <jats:italic>NLRP3<\/jats:italic>, which is associated with chronic infantile neurological, cutaneous, and articular (CINCA) syndrome, also known as neonatal\u2010onset multisystem inflammatory disease (NOMID). He was successfully treated with interleukin\u20101 blockade, highlighting the importance of prompt treatment in CINCA\/NOMID patients. This case also illustrates how atraumatic cases of SDH can be readily distinguished from AHT with multidisciplinary collaboration and careful consideration of the clinical history and exam findings.<\/jats:p>","DOI":"10.1002\/ajmg.a.63366","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T08:49:56Z","timestamp":1691398196000},"page":"2825-2830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Subdural hemorrhage, macrocephaly, rash, and developmental delay in an infant: A pathogenic variant in <scp><i>NLRP3<\/i><\/scp> causes <scp>CINCA<\/scp>\/<scp>NOMID<\/scp>"],"prefix":"10.1002","volume":"191","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9233-6059","authenticated-orcid":false,"given":"Ajay S.","family":"Koti","sequence":"first","affiliation":[{"name":"Safe Child and Adolescent Network, Department of Pediatrics University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aviya","family":"Lanis","sequence":"additional","affiliation":[{"name":"Division of Rheumatology University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Finlayson","sequence":"additional","affiliation":[{"name":"Division of Genetic Medicine University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Canny","sequence":"additional","affiliation":[{"name":"Division of Rheumatology University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elana A.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Safe Child and Adolescent Network, Department of Pediatrics University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6096-8601","authenticated-orcid":false,"given":"Danny E.","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Genetic Medicine, Department of Laboratory Medicine and Pathology University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Rosenwasser","sequence":"additional","affiliation":[{"name":"Division of Rheumatology University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbey A.","family":"Scott","sequence":"additional","affiliation":[{"name":"Division of Genetic Medicine Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen C.","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Rheumatology University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth W.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Safe Child and Adolescent Network, Department of Pediatrics University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.22022"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-020-04848-1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","unstructured":"Chen S. 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