Table 4

Revised classification of ALPS-related disorders

Previous nomenclatureRevised nomenclatureGeneDefinition
ALPS type IIb CEDS CASP8 Patients present with lymphadenopathy and/or splenomegaly, marginal DNT elevation, recurrent infections, and germline mutations in caspase 8. 
ALPS type IV RALD NRAS Patients present with autoimmunity, lymphadenopathy and/or splenomegaly, elevated or normal DNTs, and somatic mutations in NRAS. 
DALD DALD Unknown Patients present with autoimmunity, lymphadenopathy and/or splenomegaly, normal DNTs, and defective in vitro FAS-mediated apoptosis. 
XLP1 XLP1 SH2D1A Patients present with fulminant Epstein-Barr virus infection, hypogammaglobulinemia, or lymphoma. 
Previous nomenclatureRevised nomenclatureGeneDefinition
ALPS type IIb CEDS CASP8 Patients present with lymphadenopathy and/or splenomegaly, marginal DNT elevation, recurrent infections, and germline mutations in caspase 8. 
ALPS type IV RALD NRAS Patients present with autoimmunity, lymphadenopathy and/or splenomegaly, elevated or normal DNTs, and somatic mutations in NRAS. 
DALD DALD Unknown Patients present with autoimmunity, lymphadenopathy and/or splenomegaly, normal DNTs, and defective in vitro FAS-mediated apoptosis. 
XLP1 XLP1 SH2D1A Patients present with fulminant Epstein-Barr virus infection, hypogammaglobulinemia, or lymphoma. 

CEDS, caspase 8 deficiency state; RALD, RAS-associated autoimmune leukoproliferative disease; DALD, Dianzani autoimmune lymphoproliferative disease; and XLP1, X-linked lymphoproliferative syndrome.

Close Modal

or Create an Account

Close Modal
Close Modal