Autoinflammatory diseases: an update of clinical and genetic aspects

Rheumatology (Oxford). 2008 Jul;47(7):946-51. doi: 10.1093/rheumatology/ken118. Epub 2008 Apr 3.

Abstract

To review clinical manifestations and genetic features of the autoinflammatory diseases, a group of rare, genetically defined diseases which have been newly grouped into a coherent whole. We performed a literature review using the keywords 'periodic fever syndrome', 'autoinflammatory disease' and 'therapy'. All relevant original and review articles in English were reviewed. A case report of each autoinflammatory disease was excerpted from the literature and presented. This review summarizes the clinical manifestations, genetic analysis and therapy of FMF, TNF-alpha receptor-associated periodic fever syndrome, hyperimmunoglobulinaemia D periodic fever syndrome and cryopyrin-associated periodic fever syndrome. These diseases have periodic fever, are hereditary and recurrent, with elevated acute-phase reactants. Differentiating features of these disorders are tabulated. Autoinflammatory diseases have some communalities in their presentation although they represent a relatively diverse group of genetically associated diseases.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Carrier Proteins / analysis
  • Diagnosis, Differential
  • Familial Mediterranean Fever / diagnosis*
  • Familial Mediterranean Fever / drug therapy
  • Familial Mediterranean Fever / genetics*
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Male
  • Mevalonate Kinase Deficiency / diagnosis
  • Mevalonate Kinase Deficiency / drug therapy
  • Mevalonate Kinase Deficiency / genetics
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Receptors, Tumor Necrosis Factor / genetics

Substances

  • Carrier Proteins
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • NLRP3 protein, human
  • Receptors, Tumor Necrosis Factor