Table 1

The autoinflammatory conditions of known genetic aetiology

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

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

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