Autoinflammatory diseases Flashcards

1
Q

what is hereditary periodic fever (HPF)

A

genetically determined episodes of fever with intense inflammation of several tissues

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2
Q

is HPF autosomal recessive or dominant

A

either

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3
Q

is the TRAPs form of HPF recessive or dominant

A

dominant

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4
Q

what sort of mutation of the gene TNFRSF1A usually occurs to cause TRAPs and what is the result

A

missense

gain of function of TNF

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5
Q

what is the usual role of the cytokine TNFa

A

its proinflammatory, controlling cell proliferation, differentiation and apoptosis

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6
Q

how is TRAPs usually diagnosed

A

reduced soluble TNFR1 in serum, raised acute phase response and genetic screening

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7
Q

how is TRAPs treated

A

steroids

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8
Q

how is psoriasis treated

A

biologics

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9
Q

which diseases are associated with mutations in the NLRP3 inflamasome gene

A

psoriasis, muckle wells syndrome, familial cold-induced autoinflammatory syndrome and chronic infantile cutaneous articular syndrome

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10
Q

which IL is an agonist for psoriasis

A

IL-36

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11
Q

what is muckle wells syndrome

A

chronic recuring urticaria

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12
Q

what causes the symptoms of muckle wells

A

increased local inflamation due to high tunover of inflamasomes and subsequent release of IL-1

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13
Q

what is the treatment for muckle wells

A

IL-1 receptor antagonists

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14
Q

what is the treatment for gout

A

IL-1 blocker called Anakinra

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15
Q

what is DIRA

A

deficiency of the IL-1Ra

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16
Q

what are the symptoms of DIRA

A

sterile multifocal osteomyelitis, periostitis and pastulosis

17
Q

what is the treatment for DIRA

A

Anakinra