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The autoinflammatory conditions of known genetic aetiology |
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| Periodic fever syndrome |
Gene |
Mode of inheritance |
Predominant ethnic groups |
Usual age at onset |
Potential precipitants of attacks |
Distinctive clinical features |
Duration of attacks |
Typical frequency of attacks |
Characteristic laboratory abnormalities |
Treatment |
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| FMF |
MEFV Chromosome 16 |
Autosomal recessive (dominant in rare families) |
Eastern Mediterranean |
Childhood/early adult |
Usually none and occasionally menstruation, fasting, stress, and trauma |
Short severe attacks, colchicin e-responsive, and erysipelas-like erythema |
1 to 3 days |
Variable |
Marked acute-phase response during attacks |
Colchicine |
| TRAPS |
TNFRSF1A Chromosome 12 |
Autosomal dominant and can be de novo |
Northern European but reported in many ethnic groups |
Childhood/early adult |
Usually none |
Prolonged symptoms |
More than a week and may be very prolonged |
may be continuous |
Marked acute-phase response during attacks and low levels of soluble TNFR1 when well |
Etanercept and high-dose corticosteroids |
| HIDS |
MVK Chromosome 12 |
Autosomal recessive |
Northern European |
Infancy |
Immunisations |
Diarrhoea and lymphadenopathy |
3 to 7 days |
1 to 2 monthly |
Elevated IgD and IgA, acute-phase response, and mevalonate aciduria during attacks |
Anti-TNF and anti-IL-1 therapies |
| FCAS |
NLRP3 Chromosome 1 |
Autosomal dominant |
Northern European |
Childhood |
Exposure to cold Environment |
Cold-induced fever, arthralgia, rash, and conjunctivitis |
24 to 48 hours |
Depends on Environmental factors |
Acute-phase response during attacks and to a lesser extent when well |
Cold avoidance and anti-IL-1 therapies |
| MWS |
NLRP3 Chromosome 1 |
Autosomal dominant |
Northern European |
Neonatal/infancy |
Marked diurnal variation and cold environment but less marked than in FCAS |
Urticarial rash, conjunctivitis, and sensorineural deafness |
Continuous, often worse in the evenings |
Often daily |
Varying but marked acute-phase response most of the time |
Anti-IL-1 therapies |
| CINCA/NOMID |
NLRP3 Chromosome 1 |
Sporadic |
Northern European |
Infancy |
None |
Urticarial rash, aseptic meningitis, deforming arthropathy, ensorineural deafness, and mental retardation |
Continuous |
Continuous |
Varying but marked acute-phase response most of the time |
Anti-IL-1 therapies |
| PAPA |
PSTPIP1 (CD2BP1) Chromosome 15 |
Autosomal dominant |
Northern European (only 3 families reported) |
Childhood |
None |
Pyogenic arthritis, pyoderma gangrenosum, and cystic acne |
Intermittent attacks with migratory arthritis |
Variable and may be continuous |
Acute-phase response during attacks |
Anti-TNF therapy |
| Blau syndrome |
NOD2 (CARD15) Chromosome 16 |
Autosomal dominant |
None |
Childhood |
None |
Granulomatous polyarthritis, iritis, and dermatitis |
Continuous |
Continuous |
Sustained modest acute-phase response |
Corticosteroids |
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CINCA, chronic infantile neurological, cutaneous, and articular syndrome; FCAS, familial cold autoinflammatory syndrome; FMF, familial Mediterranean fever; IL, interleukin; MVK, mevalonate kinase; MWS, Muckle-Wells syndrome; NOMID, neonatal onset multisystem inflammatory disease; PAPA, pyogenic sterile arthritis, pyoderma gangrenosum, and acne; TNF, tumour necrosis factor; TNFR1, tumour necrosis factor receptor 1; TNFRSF1A, tumour necrosis factor receptor superfamily 1A; TRAPS, tumour necrosis factor receptor-associated periodic syndrome. | ||||||||||
Lachmann and Hawkins Arthritis Research & Therapy 2009 11:212 doi:10.1186/ar2579 |
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