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familial cold autoinflammatory syndrome (FCAS)
Epidemiology:
- rare
- onset < 1 year of age
- affects children of European descent
Pathology:
- systemic inflammatory disease
- amyloidosis
Genetics:
1) autosomal dominant
2) mutation in CIAS1 gene
Clinical manifestations:
- episodes of rash, arthralgia, fever & conjunctivitis after generalized exposure to cold
- attacks last 12-24 hours
- urticaria-like rash
- nausea
- headache
- sensorineural hearing loss
Management:
- interleukin 1-beta inhibitor [2]
- rilonacept
- canakinumab (Ilaris) FDA-approved in 2009
Related
NACHT, LRR & PYD domains-containing protein 3; angiotensin/vasopressin receptor AII/AVP-like; caterpiller protein 1.1; CLR1.1; cold autoinflammatory syndrome 1 protein; Cryopyrin; PYRIN-containing APAF1-like protein 1 (NLRP3, C1orf7, CIAS1, NALP3 ,PYPAF1)
General
cryopyrin associated periodic syndrome (CAPS)
Database Correlations
OMIM 120100
References
- OMIM :accession 120100
- Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18.
American College of Physicians, Philadelphia 2012, 2015, 2018