Autoinflammatory syndromes

report on three cases

Authors

  • Thais Cunha Matos Universidade Federal de São Paulo
  • Maria Teresa Ramos Ascensão Terreri Universidade Federal de São Paulo
  • Daniela Gerent Petry Universidade Federal de São Paulo
  • Cássia Maria Barbosa Universidade Federal de São Paulo
  • Claudio Arnaldo Len Universidade Federal de São Paulo
  • Maria Odete Esteves Hilário Universidade Federal de São Paulo

Keywords:

Relapsing fever, Familial mediterranean fever, Tumor necrosis factor-alpha, Child, NLRP3 protein, human [substance name], Inflammation

Abstract

CONTEXT: Autoinflammatory syndromes are diseases manifested by recurrent episodes of fever and inflammation in multiple organs. There is no production of autoantibodies, but interleukins play an important role and acute-phase reactants show abnormalities. Our aim was to report on three cases of autoinflammatory syndromes that are considered to be rare entities. CASE REPORTS: The authors describe the clinical features of three patients whose diagnosis were the following: tumor necrosis factor receptor-associated periodic syndrome (TRAPS), chronic infantile neurological cutaneous articular (CINCA) syndrome and familial Mediterranean fever (FMF). All of the patients presented fever, joint or bone involvement and increased acute phase reactants. The genetic analysis confirmed the diagnoses of two patients. The great diversity of manifestations and the difficulties in genetic analyses make the diagnosing of these diseases a challenge.

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Author Biographies

Thais Cunha Matos, Universidade Federal de São Paulo

MD. Pediatrician, Division of Pediatric Rheumatology, Department of Pediatrics, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

Maria Teresa Ramos Ascensão Terreri, Universidade Federal de São Paulo

MD, PhD. Assistant professor, Division of Pediatric Rheumatology, Department of Pediatrics, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

Daniela Gerent Petry, Universidade Federal de São Paulo

MD. Pediatrician, Division of Pediatric Rheumatology, Department of Pediatrics, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

Cássia Maria Barbosa, Universidade Federal de São Paulo

MD. Attending physician, Division of Pediatric Rheumatology, Department of Pediatrics, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

Claudio Arnaldo Len, Universidade Federal de São Paulo

MD, PhD. Assistant professor, Division of Pediatric Rheumatology, Department of Pediatrics, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

Maria Odete Esteves Hilário, Universidade Federal de São Paulo

MD, PhD. Assistant professor, Division of Pediatric Rheumatology, Department of Pediatrics, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

References

Stojanov S, Kastner DL. Familial autoinflammatory diseases: genetics, pathogenesis and treatment. Curr Opin Rheumatol. 2005;17(5):586-99.

Galeazzi M, Gasbarrini G, Ghirardello A. et al. Autoinflammatory syndromes. Clin Exp Rheu- matol. 2006;24(1 Suppl 40):S79-85.

Kiss MH, Magalhães CS. Autoinflammatory diseases: mimics of autoimmunity or part of its spectrum? Case presentation. J Clin Immunol. 2008;28(Suppl 1):S84-9.

Masson C, Simon V, Hoppé E, Insalaco P, Cissé I, Audran M. Tumor necrosis factor re- ceptor-associated periodic syndrome (TRAPS): definition, semiology, prognosis, patho- genesis, treatment, and place relative to other periodic joint diseases. Joint Bone Spine. 2004;71(4):284–90.

Samuels J, Ozen S. Familial Mediterranean fever and the other autoinflammatory syndromes: evaluation of the patient with recurrent fever. Curr Opin Rheumatol. 2006;18(1):108-17.

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Published

2009-09-09

How to Cite

1.
Matos TC, Terreri MTRA, Petry DG, Barbosa CM, Len CA, Hilário MOE. Autoinflammatory syndromes: report on three cases. Sao Paulo Med J [Internet]. 2009 Sep. 9 [cited 2025 Mar. 9];127(5):314-6. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1913

Issue

Section

Case Report