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hereditary periodic fever syndrome; periodic fevers; recurrent fever syndrome; familial autoinflammatory disease

Episodes of systemic inflammation in the absence of infection of autoimmunity. [1] Etiology: 1) familial Mediterranean fever 2) hyperimmunoglobulinemia D with periodic fever syndrome 3) cryopyrin associated periodic syndrome a) Muckle-Wells syndrome b) neonatal-onset multisystem inflammatory disease c) familial cold autoinflammatory syndrome 4) familial hibernian fever Clinical manifestations: - intermittent episodes of fever - other systemic manifestations a) arthralgia b) abnominal pain c) rash Laboratory: - see ARUP consult [3] Differential diagnosis: - may be cause of fever of unknown origin

Specific

cryopyrin associated periodic syndrome (CAPS) familial hibernian fever (FHF); tumor necrosis factor (TNF) receptor-associated periodic syndrome (TRAPS) familial Mediterranean fever (FMF, recurrent polyserositis) hyper IgD syndrome; hyperimmunoglobulinemia D & periodic fever syndrome; mevalonate kinase deficiency; HIDS Muckle-Wells syndrome (MWS)

General

fever syndrome genetic disease of the immune system genetic syndrome (multisystem disorder)

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 16, 17. American College of Physicians, Philadelphia 2012, 2015
  2. Gattorno M, Martini A. Beyond the NLRP3 inflammasome: autoinflammatory diseases reach adolescence. Arthritis Rheum. 2013 May;65(5):1137-47. PMID: 23400910
  3. ARUP consult Periodic Fever Syndromes Panel, Sequencing and Deletion/Duplication https://arupconsult.com/ati/Periodic-Fever-Syndromes-Panel