Autoinflammatory disorders Flashcards
what are autoinflammatory disorders?
A group of diseases that manifest as recurrent fevers and episodes of inflammation
* Presence of skin rashes and joint inflammation and No infection
* Absence of auto- antibodies that are typical of autoimmune diseases
* Typically high acute phase
responses and involvement of innate
immune system
what are some examples of auto inflammatory conditions?
IBD
behcet’s disease
gout
psoriasis
what characteristics for auto inflammatory disease compared to autoimmune diseases?
inflammatory:
- use of innate immunity
-prevalent in both sex
immune:
- t and b cell involvement
- female predominantly
what are hereditary fever syndromes?
disorders characterised by episodic fevers (irregular fevers)
what are some examples of hereditary fever syndrome?
Familial Mediterranean Fever(FMF)
HIDS (hyperimmunoglobulinemia D syndrome)
TNF receptor- associated periodic syndrome (TRAPS)
what is episodic fevers?
irregular fevers
how does hereditary fever syndrome occur?
mutations in genes that are linked to dysfunction in an innate immune system
> 180 mutations in MEFV gene = abnormal pyrin protein
how is hereditary fever syndrome detected?
blood increases acute phase response proteins
- elevated ESR/CRP/ serum amyloid A (SAA)
what are the symptoms of hereditary fever syndrome?
Episodic fever lasting 12 hours to 3 days
Severe abdominal pain
Joint swelling and inflammation
Skin rashes-often on feet and lower legs
FMF can also lead to amyloidosis (build up of amyloid in kidneys), which can result in kidney failure
what is pyrin?
pattern recognition receptor
how does familia mediterranean fever (FMF) occur?
> 180 mutations in MEFV gene = abnormal pyrin protein
what are the symptoms of hyperimmunoglobulinemia D syndrome (HIDS/MKD)?
Periodic fever, typically lasting 1 week
Rash
Severe abdominal pain
Joint pain and inflammation
Enlarged liver and spleen
Swollen lymph nodes
High levels of IgD in blood
who is mainly succeptible to hyperimmunoglobulinemia D syndrome (HIDS/MKD)?
europeans
who is mainly succeptible to familia mediterranean fever (FMF)?
eastern mediterranean
who is mainly succeptible to TRAPS?
Europeans