Case Report: Munc13–4 deficiency presenting with autoimmune neuropathy years before FLH: implications for early genetic screening and HSCT timing

BackgroundThe UNC13D gene encodes Munc13-4, a critical regulator of cytotoxic granule exocytosis in lymphocytes and the protein responsible for familial hemophagocytic lymphohistiocytosis (FHL). As an essential mediator of perforin release from cytotox…

Novel phenotypes of immune-mediated necrotizing myopathy identified independent of myositis-specific antibody specificity that improve prognostic stratification

AimTo systematically investigate the clinical characteristics and prognosis of patients with immune-mediated necrotizing myopathy (IMNM), and to explore the proteomic landscape associated with different clinical phenotypes.MethodsA total of 133 IMNM pa…

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