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No HPO annotations are available for this condition.
In its most characteristic form, Aicardi-Goutires syndrome (AGS) can be considered an early-onset encephalopathy associated with significant intellectual and physical disability. Pregnancy, delivery, and the neonatal period are normal in approximately 80% of infants with Aicardi-Goutires syndrome (AGS) . However, brain calcifications can be identified in utero and 20% of cases, mainly those caused by biallelic pathogenic variants in TREX1, present at birth with abnormal neurologic findings, hepatosplenomegaly, elevated liver enzymes, and thrombocytopenia, a picture reminiscent of congenital infection. All other affected infants present at variable times after the first few weeks of life, frequently after a period of apparently normal development.
In its most characteristic form, Aicardi-Goutires syndrome (AGS) can be considered an early-onset encephalopathy associated with significant intellectual and physical disability.
Aicardi-Goutires syndrome (AGS) should be suspected in individuals with the following clinical, neuroimaging, and supportive laboratory findings [, , , ].
Clinical features
Encephalopathy and/or significant intellectual disability
No approved treatments are currently available for reticulate pigment disorder. The disease remains an area of unmet medical need.
To establish the extent of disease and needs in an individual diagnosed with Aicardi-Goutires syndrome (AGS), the following evaluations are recommended:
Developmental assessment
Surveillance includes the following:
Monitoring for signs of diabetes insipidus in the neonatal period
Assessment for glaucoma at least for the first few years of life
Monitoring of the spine for the development of scoliosis
No clinical trials have been registered for reticulate pigment disorder.
13 publications have been identified in PubMed for reticulate pigment disorder. Research spans Case Report / Case Series (69%), Review / Meta-Analysis (23%), and Clinical Trial Publication (8%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 9 | 69% |
Data assembled from 3 of 12 sources · Last updated Sep 19, 2026, 11:55 AM UTC
Source: GeneReviews — "Aicardi-Goutires Syndrome"
Acquired microcephaly during the first year of life
Dystonia and spasticity
Sterile pyrexias
Hepatosplenomegaly
Chilblain lesions on the feet, hands, ears, and sometimes more generalized mottling of the skin. See .
Exclusion criteria include the following:
Source: GeneReviews — "Aicardi-Goutires Syndrome"
Calcification of the basal ganglia is a nonspecific finding seen in many diseases. However, in the context of an early-onset encephalopathy, conditions to consider include the following:
TORCH congenital infections are the most common conditions in the differential and the most important to rule out because misdiagnosis would result in erroneous counseling as to risk of recurrence.
Note: Other congenital infections, such as those associated with Zika and HIV, should also be considered in the differential diagnosis.
Source: GeneReviews — "Aicardi-Goutires Syndrome"
Ophthalmologic examination
EEG to evaluate for seizures, if suspected
Consultation with a clinical geneticist and/or genetic counselor
The following are appropriate:
Chest physiotherapy and vigorous treatment of respiratory complications
Attention to diet and method of feeding to assure adequate caloric intake
Management of seizures using standard protocols
Surveillance includes the following:
Monitoring for signs of diabetes insipidus in the neonatal period
Assessment for glaucoma at least for the first few years of life
Monitoring of the spine for the development of scoliosis
Monitoring for signs of insulin-dependent diabetes mellitus and hypothyroidism
See for issues related to testing of at-risk relatives for genetic counseling purposes.
Research into the role of immunosuppressive agents in the treatment of AGS is ongoing . Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions.
Corticosteroids can lower the CSF concentration of interferon [PG Barth 2003, personal communication]; the clinical benefit of such t...
Source: GeneReviews — "Aicardi-Goutires Syndrome"
Research into the role of immunosuppressive agents in the treatment of AGS is ongoing . Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions.
Source: GeneReviews — "Aicardi-Goutires Syndrome"
View trials for reticulate pigment disorder
Monitoring for signs of insulin-dependent diabetes mellitus and hypothyroidism
Source: GeneReviews — "Aicardi-Goutires Syndrome"
3 |
23% |
Clinical study results | 1 | 8% |
Alshehri MA (2026). [PMID: 42170366](https://pubmed.ncbi.nlm.nih.gov/42170366/). *Cureus*. [Case Report / Case Series]
Agrawal A (2026). [PMID: 41545220](https://pubmed.ncbi.nlm.nih.gov/41545220/). *BMJ case reports*. [Case Report / Case Series]
Sathe NC (2026). [PMID: 32491369](https://pubmed.ncbi.nlm.nih.gov/32491369/). *Unknown Journal*. [Case Report / Case Series]
Okamura K (2026). [PMID: 41127964](https://pubmed.ncbi.nlm.nih.gov/41127964/). *The Journal of dermatology*. [Review / Meta-Analysis]
Noveir SD (2025). [PMID: 39225247](https://pubmed.ncbi.nlm.nih.gov/39225247/). *Pediatric dermatology*. [Case Report / Case Series]
Kumar S (2025). [PMID: 40674458](https://pubmed.ncbi.nlm.nih.gov/40674458/). *The British journal of dermatology*. [Review / Meta-Analysis]
Bernstein EF (2025). [PMID: 39789753](https://pubmed.ncbi.nlm.nih.gov/39789753/). *Lasers in surgery and medicine*. [Case Report / Case Series]
Hanifa H (2025). [PMID: 40624600](https://pubmed.ncbi.nlm.nih.gov/40624600/). *Journal of medical case reports*. [Case Report / Case Series]
Shanshal M (2025). [PMID: 40959348](https://pubmed.ncbi.nlm.nih.gov/40959348/). *Cureus*. [Case Report / Case Series]
Savoia F (2024). [PMID: 39583048](https://pubmed.ncbi.nlm.nih.gov/39583048/). *Dermatology reports*. [Case Report / Case Series]