%0 Journal Article %T IKAROS-how many feathers have you lost: mild and severe phenotypes in IKZF1 deficiency. %A Strauss T %A Körholz J %A Kuehn HS %A Gil Silva AA %A Taube F %A Trautmann-Grill K %A Stittrich A %A Pietzsch L %A Wiedemuth R %A Wahn V %A von Bernuth H %A Rosenzweig SD %A Fasshauer M %A Krüger R %A Schuetz C %J Front Pediatr %V 12 %N 0 %D 2024 %M 38813543 %F 3.569 %R 10.3389/fped.2024.1345730 %X Heterozygous germline variants in human IKZF1 encoding for IKAROS define an inborn error of immunity with immunodeficiency, immune dysregulation and risk of malignancy with a broad phenotypic spectrum. Growing evidence of underlying pathophysiological genotype-phenotype correlations helps to improve our understanding of IKAROS-associated diseases. We describe 6 patients from 4 kindreds with two novel IKZF1 variants leading to haploinsufficiency from 3 centers in Germany. We also provide an overview of first symptoms to a final diagnosis including data from the literature.