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تعداد آیتم قابل مشاهده باقیمانده : -15 مورد

AA amyloid in monogenic autoinflammatory diseases*

AA amyloid in monogenic autoinflammatory diseases*
Disease Inheritance Chromosome Gene Number of variants Age of onset Duration of attacks Phenotypes Percent AA amyloidΔ Treatment
FMF R§ 16 MEFV 390 <10 years 1 to 3 days F; S; A; E Up to 60% Colchicine; IL-1/6 antagonists
TRAPS¥ D 12 TNFRSF1A 180 <10 years >7 days F; R; S; A; M; P 11 to 25% Glucocorticoids; IL-1 antagonists
CAPS D   NLRP3 256          
MWS D   NLRP3   <20 years 1 to 2 days** U; D Approximately 25% IL-1 antagonists
FCAS D   NLRP3   <6 months 1 to 2 days** CU 2 to 4%  
CINCA/NOMID D   NLRP3   <6 months   A; U; D; Sk; Me Approximately 20%  
HIDS/MKD R 12 MVK 276 <6 months 4 to 7 days F; S; A; R; AS Approximately 6% IL-1/6 antagonists

A: arthropathy; AS: aphthous stomatitis; CAPS: cryopyrin-associated periodic syndromes; CINCA/NOMID: chronic infantile neurologic cutaneous and articular syndrome/neonatal-onset multisystem inflammatory disease; CU: cold urticaria (starts approximately 10 hours after cold exposure); D: sensorineural deafness; E: erysipelas-like erythema; F: fever; FCAS: familial cold autoinflammatory syndrome; FMF: familial Mediterranean fever; HIDS/MKD: hyperimmunoglobulin D with periodic fever syndrome/mevalonate kinase deficiency; IL: interleukin; M: myalgias; Me: chronic meningitis; MWS: Muckle-Wells syndrome; P: periorbital edema; R: rash; S: serositis; Sk: skeletal abnormalities; TRAPS: tumor necrosis factor receptor-1 associated periodic syndrome; U: urticaria.

* Isolated cases of AA amyloid complicating adenosine deaminase 2 deficiency (DADA2; 140 variants) and A20 haploinsufficiency (HA20; 66 variants) have been reported[1].

¶ Number of variants listed in https://infevers.umai-montpellier.fr/web/ as of June 2022; not all are pathogenic; some are associated with increased frequency of AA amyloidosis.

Δ Percent developing AA amyloid if untreated.

◊ Treatment modalities: IL-1 antagonists: anakinra, canakinumab, rilonacept; IL-6 antagonists: tocilizumab; sarilumab.

§ May be dominant or heterozygous.

¥ TRAPS is also described as "Hibernian Fever."

‡ The cryopyrinopathies (CAPS) encompass a spectrum of disorders, all associated with mutations in NLRP3, of which 256 variants have been described to date. They include MWS, FCAS, CINCA, and NOMID. A few patients with an FCAS-like phenotype have been described with NLRP12 mutations (80 variants).

† Mosaicism has been identified in patients with late-onset, mild, or otherwise atypical autoinflammatory diseases in the spectrum of CAPS and TRAPS.

** May be episodic or daily.
Reference:
  1. Amikishiyev S, Aliyeva N, Bektas M, et al. AB1299 Differences in the clinical spectrum of haploinsufficiency of A20 (HA20) cases diagnosed during adulthood. Ann Rheum Dis 2022; 81:1756.
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