Autoinflammatory diseases in childhood, part 1: monogenic syndromes.

Autoinflammatory diseases constitute a family of disorders defined by aberrant stimulation of inflammatory pathways without involving antigen-directed autoimmunity. They may be divided into monogenic and polygenic types. Monogenic autoinflammatory syndromes are those with identified genetic mutation...

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Published in:Pediatric Radiology Vol. 50; no. 3; pp. 415 - 431
Main Authors: Navallas, María, Inarejos Clemente, Emilio J., Iglesias, Estíbaliz, Rebollo-Polo, Mónica, Zaki, Faizah Mohd, Navarro, Oscar M.
Format: review Journal Article
Published: Springer Nature Mar2020
Online Access:View this record in EBSCOhost
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        atl: Autoinflammatory diseases in childhood, part 1: monogenic syndromes.
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        au:
          Navallas, María
          Inarejos Clemente, Emilio J.
          Iglesias, Estíbaliz
          Rebollo-Polo, Mónica
          Zaki, Faizah Mohd
          Navarro, Oscar M.
        affil: Department of Radiology, Hospital Sant Joan de Déu, Passeig Sant Joan de Déu, 2. 08950 Esplugues de Llobregat, Barcelona, Spain
      sug:
        subj:
          Hereditary Autoinflammatory Diseases
          Diagnostic Imaging Methods
          Male
          Female
          Syndrome
          Adolescence
          Child, Preschool
          Infant
          Child
          Scales
          Arthritis Impact Measurement Scales
          Adolescent: 13-18 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Child: 6-12 years
          Male
          Female
      ab: Autoinflammatory diseases constitute a family of disorders defined by aberrant stimulation of inflammatory pathways without involving antigen-directed autoimmunity. They may be divided into monogenic and polygenic types. Monogenic autoinflammatory syndromes are those with identified genetic mutations, such as familial Mediterranean fever, tumor necrosis factor receptor-associated periodic fever syndrome (TRAPS), mevalonate kinase deficiency or hyperimmunoglobulin D syndrome, cryopyrin-associated periodic fever syndromes (CAPS), pyogenic arthritis pyoderma gangrenosum and acne (PAPA) syndrome, interleukin-10 and interleukin-10 receptor deficiencies, adenosine deaminase 2 deficiency and pediatric sarcoidosis. Those without an identified genetic mutation are known as polygenic and include systemic-onset juvenile idiopathic arthritis, idiopathic recurrent acute pericarditis, Behçet syndrome, chronic recurrent multifocal osteomyelitis and inflammatory bowel disease among others. Autoinflammatory disorders are defined by repeating episodes or persistent fever, rash, serositis, lymphadenopathy, arthritis and increased acute phase reactants, and thus may mimic infections clinically. Most monogenic autoinflammatory syndromes present in childhood. However, because of their infrequency, diverse and nonspecific presentation, and the relatively new genetic recognition, diagnosis is usually delayed. In this article, which is Part 1 of a two-part series, the authors update monogenic autoinflammatory diseases in children with special emphasis on imaging features that may help establish the correct diagnosis.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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