Mosaic variants in TNFRSF1A: An emerging cause of tumor necrosis factor receptor-associated periodic syndrome.

This study expands the localization of TNFRSF1A mosaic variants to the CRD1 domain. Noticeably, residues involved in germline TNFRSF1A mutational hot spots can also be involved in post-zygotic mutational events. Including our study, only four patients have been thus far reported with TNFRSF1A mosaicism highlighting the need for a high-depth NGS-based approach to avoid the misdiagnosis of TRAPS. Genetic counseling has to consider the potential occurrence of TNFRSF1A mosaic variants in germinal cells.