Autoinflammatory syndromes Flashcards
most common monogenic inheritted autoninflam syndrome
FMF- familial mediterranean fever
AR
MUTATION IN MEFV
fmf char by
recurrent attacks kf 12-72 hrs of fever and a monoarthitis w overlying erysipelas like erythema.
fmf mainstay tx
colchicine
fmf tx if colchicine failed
anti IL1 tx.
AD disorder chat by pyogenic sterile arthiritis , PG AND ACNE.
caused by
PSTP1P1 or CD2BP1
PAPA syndrome
TNF rceptor assoc periodic syndrome (TRAPS) is assoc w
FMF. but shows AD inheritance , longer attacks; wnd alack of response to colchicine.
mutation: TNFRSF1A gene.
TRAPS MANIF
Febrile ep 1-3 weeks acc by periorbital edema, abdominal pain, myalgia; painful distally migrating erythematous and uritcarial like plaques, myalgia.
NSAID AND PRED- Acute spisodes.
DIRA ( Deficiency of il1 receptor antagonist)
AR
mutation in ILIRN
PRESENT: Neonatal sterile osteomyelitis, periostitis, pustulosis.
def of ADA2( Dada2 subdrome) due to CECR1 Mutation desc as
early onset stroke; intermittent fever, systemic vaculopathy.
HIDS( Huper IgD syndrome) mutation
MVK gene.
mvk deficiency.
inc IL1
present as periodic fever, lymphadenopathy, GI, musculoskeletal; neuro issues
Blau syndrlme inheritsnce
AD
arthritis, ubeitis; grabulomatous inflamm; camptodactyly,
Mutation in NOD 2 gene.
CANDLE
chronic atypical neutrophilic dermatosis w lipdystophy and elevated tempreture.
mutation in proteosone components leads to inc cell stress and pro inflaamm cytokines.
mutatuon in PSMB8 gene.
present i newborn oeriod as fever swollen purplish red eyelids red purplish papules and plaques of trunk nefk and extremities. lipodystrophy of face.
skim biopsy: Atypical cells of myelocytic lineage in dermis.