Periodic fever syndrome: Difference between revisions
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The '''periodic fever syndromes''' (also known as '''autoinflammatory syndromes''') are a set of genetic disorders in which the mechanisms which initiate and control [[inflammation]] are disturbed leading to uncontrolled inflammation throughout the body. The syndromes are diverse but tend to cause fever, [[arthralgia|joint pains]], [[abdominal pain]]s and may lead to chronic complications such as [[amyloidosis]]. | The '''periodic fever syndromes''' (also known as '''autoinflammatory syndromes''') are a set of genetic disorders in which the mechanisms which initiate and control [[inflammation]] are disturbed leading to uncontrolled inflammation throughout the body. The syndromes are diverse but tend to cause fever, [[arthralgia|joint pains]], [[abdominal pain]]s and may lead to chronic complications such as [[amyloidosis]]. | ||
==Causes== | ==Causes== | ||
* | * Periodic fever syndrome are caused by a [[mutation]] in the relative [[Gene|genes]]. | ||
* For more information on [[familial Mediterranean fever]] [[causes]] [[Familial mediterranean fever causes|click here]]. | * For more information on [[familial Mediterranean fever]] [[causes]] [[Familial mediterranean fever causes|click here]]. | ||
* For more information on [[Hyperimmunoglobulinemia D with recurrent fever]] [[causes]] [[Hyperimmunoglobulinemia D with recurrent fever|click here]]. | * For more information on [[Hyperimmunoglobulinemia D with recurrent fever]] [[causes]] [[Hyperimmunoglobulinemia D with recurrent fever|click here]]. | ||
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* For more information on [[pyogenic sterile arthritis, pyoderma gangrenosum, acne]] [[causes]] [[Pyogenic sterile arthritis, pyoderma gangrenosum, acne|click here]]. | * For more information on [[pyogenic sterile arthritis, pyoderma gangrenosum, acne]] [[causes]] [[Pyogenic sterile arthritis, pyoderma gangrenosum, acne|click here]]. | ||
==Classification== | ==Classification== | ||
* Periodic fever syndromes are classified to:<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref><ref name="KrausCulican2009">{{cite journal|last1=Kraus|first1=Courtney L|last2=Culican|first2=Susan M|title=Nummular keratopathy in a patient with Hyper-IgD Syndrome|journal=Pediatric Rheumatology|volume=7|issue=1|year=2009|issn=1546-0096|doi=10.1186/1546-0096-7-14}}</ref> | * Periodic fever syndromes are [[Classification|classified]] to:<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref><ref name="KrausCulican2009">{{cite journal|last1=Kraus|first1=Courtney L|last2=Culican|first2=Susan M|title=Nummular keratopathy in a patient with Hyper-IgD Syndrome|journal=Pediatric Rheumatology|volume=7|issue=1|year=2009|issn=1546-0096|doi=10.1186/1546-0096-7-14}}</ref> | ||
** [[Familial Mediterranean fever]] | **[[Familial Mediterranean fever]] | ||
** [[Hyperimmunoglobulinemia D with recurrent fever]] | ** [[Hyperimmunoglobulinemia D with recurrent fever]] | ||
** [[TNF receptor associated periodic syndrome]] ([[TNF receptor associated periodic syndrome|TRAPS]]) | ** [[TNF receptor associated periodic syndrome]] ([[TNF receptor associated periodic syndrome|TRAPS]]) | ||
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| rowspan="11" | | | rowspan="11" | | ||
===Autoinflammatory diseases=== | ===Autoinflammatory diseases=== | ||
| '''[[Familial mediterranean fever]]''' | | '''[[Familial mediterranean fever]]'''<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref> | ||
| | | | ||
* [[Autosomal recessive]]/[[Autosomal Dominant|dominant]] | * [[Autosomal recessive]]/[[Autosomal Dominant|dominant]] | ||
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* [[Mutation]] in [[MEFV]] [[gene]] | * [[Mutation]] in [[MEFV]] [[gene]] | ||
|- | |- | ||
| '''[[Hyperimmunoglobulinemia D with recurrent fever|Hyper IgD with recurrent fever]]'''<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref><ref name="KrausCulican2009">{{cite journal|last1=Kraus|first1=Courtney L|last2=Culican|first2=Susan M|title=Nummular keratopathy in a patient with Hyper-IgD Syndrome|journal=Pediatric Rheumatology|volume=7|issue=1|year=2009|issn=1546-0096|doi=10.1186/1546-0096-7-14 | | '''[[Hyperimmunoglobulinemia D with recurrent fever|Hyper IgD with recurrent fever]]'''<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref><ref name="KrausCulican2009">{{cite journal|last1=Kraus|first1=Courtney L|last2=Culican|first2=Susan M|title=Nummular keratopathy in a patient with Hyper-IgD Syndrome|journal=Pediatric Rheumatology|volume=7|issue=1|year=2009|issn=1546-0096|doi=10.1186/1546-0096-7-14}}</ref> | ||
| | | | ||
* [[Autosomal recessive]] | * [[Autosomal recessive]] | ||
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* [[Mutation]] in [[Mevalonate kinase|MVK]] [[gene]] | * [[Mutation]] in [[Mevalonate kinase|MVK]] [[gene]] | ||
|- | |- | ||
| '''[[TNF receptor associated periodic syndrome|TNF receptor-associated periodic syndrome]]''' | | '''[[TNF receptor associated periodic syndrome|TNF receptor-associated periodic syndrome]]''' | ||
| | | | ||
* [[Autosomal dominant]] | * [[Autosomal dominant]] | ||
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* [[Mutation]] in TNFRSF1A [[gene]] | * [[Mutation]] in TNFRSF1A [[gene]] | ||
|- | |- | ||
|'''[[Muckle-Wells syndrome|Muckle-Wells Syndrome]]''' | |'''[[Muckle-Wells syndrome|Muckle-Wells Syndrome]]''' | ||
| | | | ||
* [[Autosomal dominant]] | * [[Autosomal dominant]] | ||
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* [[Mutation]] in NLRP3 [[gene]] | * [[Mutation]] in NLRP3 [[gene]] | ||
|- | |- | ||
|[[Familial cold urticaria|'''Familial cold urticaria''']]<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74 | |[[Familial cold urticaria|'''Familial cold urticaria''']]<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref> | ||
| | | | ||
* [[Autosomal dominant]] | * [[Autosomal dominant]] | ||
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* [[Mutation]] in NLRP3 [[gene]] | * [[Mutation]] in NLRP3 [[gene]] | ||
|- | |- | ||
|[[Neonatal onset multisystem inflammatory disease|'''Neonatal onset multisystem inflammatory disease''']]<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74 | |[[Neonatal onset multisystem inflammatory disease|'''Neonatal onset multisystem inflammatory disease''']]<ref name="Kastner2005">{{cite journal|last1=Kastner|first1=D. L.|title=Hereditary Periodic Fever Syndromes|journal=Hematology|volume=2005|issue=1|year=2005|pages=74–81|issn=1520-4391|doi=10.1182/asheducation-2005.1.74}}</ref> | ||
| | | | ||
* [[Autosomal dominant]] | * [[Autosomal dominant]] | ||
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* [[Mutation]] in NLRP3 [[gene]] | * [[Mutation]] in NLRP3 [[gene]] | ||
|- | |- | ||
|'''[[Pyogenic sterile arthritis, pyoderma gangrenosum, acne]] ([[Papa syndrome]])''' | |'''[[Pyogenic sterile arthritis, pyoderma gangrenosum, acne]] ([[Papa syndrome]])''' | ||
| | | | ||
* [[Autosomal dominant]] | * [[Autosomal dominant]] | ||
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* [[Mutation]] in PSTPIP1 [[gene]] | * [[Mutation]] in PSTPIP1 [[gene]] | ||
|- | |- | ||
| '''[[Periodic fever, aphthous stomatitis, pharyngitis and adenitis|Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis (PFAPA)]]''' | | '''[[Periodic fever, aphthous stomatitis, pharyngitis and adenitis|Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis (PFAPA)]]''' | ||
| | | | ||
* <nowiki>Unkown</nowiki> | * <nowiki>Unkown</nowiki> | ||
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* Unknown | * Unknown | ||
|- | |- | ||
|'''[[Blau syndrome]]''' | |'''[[Blau syndrome]]''' | ||
| | | | ||
* [[Autosomal dominant]] | * [[Autosomal dominant]] | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
<references /> |
Revision as of 14:45, 26 September 2019
Periodic Fever Syndrome Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Synonyms and keywords: Autoinflammatory syndrome
Overview
The periodic fever syndromes (also known as autoinflammatory syndromes) are a set of genetic disorders in which the mechanisms which initiate and control inflammation are disturbed leading to uncontrolled inflammation throughout the body. The syndromes are diverse but tend to cause fever, joint pains, abdominal pains and may lead to chronic complications such as amyloidosis.
Causes
- Periodic fever syndrome are caused by a mutation in the relative genes.
- For more information on familial Mediterranean fever causes click here.
- For more information on Hyperimmunoglobulinemia D with recurrent fever causes click here.
- For more information on TNF receptor associated periodic syndrome causes click here.
- For more information on Cryopyrin-associated periodic syndrome (CAPS) causes click here.
- For more information on periodic fever, aphthous stomatitis, pharyngitis and adenitis causes click here.
- For more information on Blau syndrome causes click here.
- For more information on pyogenic sterile arthritis, pyoderma gangrenosum, acne causes click here.
Classification
- Periodic fever syndromes are classified to:[1][2]
- Familial Mediterranean fever
- Hyperimmunoglobulinemia D with recurrent fever
- TNF receptor associated periodic syndrome (TRAPS)
- Cryopyrin-associated periodic syndrome (CAPS) which includes:
- Periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA syndrome)
- Blau syndrome
- Pyogenic sterile arthritis, pyoderma gangrenosum, acne (PAPA syndrome)
Differential Diagnosis
- Periodic fever syndromes should be differentiated from each other.
Category of Disease | Diseases | Signs and symptoms | Laboratory findings | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Inheritance pattern | Fever duration | Frequency of attacks | Abdominal pain | Arthralgia/Arthritis | Chest pain | Skin rash | Myalgia/Body pain | Diarrhea/Vomiting | Neurologic manifestations | Conjunctivitis | Aphthous stomatitis | Lymphadenopathy | Splenomegaly | Complete blood count (CBC) | C- reactive protein (CRP) | |||||
Erythrocyte sedimentation rate (ESR) | Other findings | Genetic analysis | ||||||||||||||||||
Autoinflammatory diseases |
Familial mediterranean fever[1] |
|
|
+ | + | + |
|
+ | + | -/+ | -/+ | -/+ | + | ↑ | ↑ |
|
||||
Hyper IgD with recurrent fever[1][2] |
|
|
+ | + | + |
|
+ | + | - | +/- | +/- | +/- | ↑ | ↑ |
|
|||||
TNF receptor-associated periodic syndrome |
|
|
+ | + | - | - | - | + | - | +/- | + | ↑ | ↑ | |||||||
Muckle-Wells Syndrome |
|
|
+ | + | - | + | + | + | + | - | - | ↑ | ↑ |
|
||||||
Familial cold urticaria[1] |
|
|
- | + | - | - | - |
|
+ | +/- | - | - | ↑ | ↑ |
|
|||||
Neonatal onset multisystem inflammatory disease[1] |
|
|
+ | + | + | + | + | +/- | + | ↑ | ↑ |
|
||||||||
Pyogenic sterile arthritis, pyoderma gangrenosum, acne (Papa syndrome) |
|
|
+/- |
|
+/- | +/- | +/- | - | - | - | - | - | ↑ | ↑ |
|
|||||
Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis (PFAPA) |
|
|
|
+ | + | - | - | + | + | - | - | + |
|
- | ↑ | ↑ |
|
| ||
Blau syndrome |
|
|
+/- | + | +/- |
|
+ | +/- |
|
- | + | +/- | + | ↑ | ↑ |
|
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Kastner, D. L. (2005). "Hereditary Periodic Fever Syndromes". Hematology. 2005 (1): 74–81. doi:10.1182/asheducation-2005.1.74. ISSN 1520-4391.
- ↑ 2.0 2.1 Kraus, Courtney L; Culican, Susan M (2009). "Nummular keratopathy in a patient with Hyper-IgD Syndrome". Pediatric Rheumatology. 7 (1). doi:10.1186/1546-0096-7-14. ISSN 1546-0096.