A family case of a rare autoinflammatory disease associated with mutations in the NLRP3 and TNFRSF1A genes in the practice of a rheumatologist
https://doi.org/10.20538/1682-0363-2023-2-170-175
Abstract
The article presents a clinical case of a rare autoinflammatory disease – a family case of Muckle – Wells syndrome. The diversity of clinical manifestations and the impossibility of confirming the diagnosis without a genetic study by DNA sequencing determine the complexity of and delay in the diagnosis. The development of severe complications and, as a consequence, a fatal outcome necessitates early diagnosis. The described clinical case demonstrates the importance of DNA sequencing for the timely diagnosis of the disease, the features of the disease course, and the familial nature of the disease. The diagnosis of Mackle – Wells syndrome in young family members before the development of severe complications will allow to start adequate and timely treatment and prevent the development of amyloidosis.
About the Authors
Yu. D. KurochkinaRussian Federation
4, Timakova Str., Novosibirsk, 630060
M. A. Korolev
Russian Federation
4, Timakova Str., Novosibirsk, 630060
E. A. Letyagina
Russian Federation
4, Timakova Str., Novosibirsk, 630060
V. S. Fishman
Russian Federation
10, Akademika Lavrentyeva Аv., Novosibirsk, 630090
M. M. Gridina
Russian Federation
10, Akademika Lavrentyeva Аv., Novosibirsk, 630090
E. S. Valeeva
Russian Federation
10, Akademika Lavrentyeva Аv., Novosibirsk, 630090
References
1. Masters S.L., Simon A., Aksentijevich I., Kastner D.L. Horror autoinflammaticus: the molecular pathophysiology of autoinflammatory disease. Annu. Rev. Immunol. 2009;27:621–668. DOI: 10.1146/annurev.immunol.25.022106.141627.
2. Kelley N., Jeltema D., Duan Y., He Y. The NLRP3 inflammasome: an overview of mechanisms of activation and regulation. Int. J. Mol. Sci. 2019;20(13):3328. DOI: 10.3390/ijms20133328.
3. Welzel T., Kuemmerle-Deschner J.B. Diagnosis and management of the cryopyrin-associated periodic syndromes (CAPS): What do we know today? J. Clin. Med. 2021;10(1):128. DOI: 10.3390/jcm10010128.
4. Gattorno M., Hofer M., Federici S., Vanoni F., Bovis F., Aksentijevich I. et al. Classification criteria for autoinflammatory recurrent fevers. Ann. Rheum. Dis. 2019;78(8):1025–1032. DOI: 10.1136/annrheumdis-2019-215048/
5. Салугина С.О., Федоров Е.С. Генно-инженерные биологические препараты в лечении основных моногенных аутовоспалительных заболеваний: обзор литературы и клиническое наблюдение. Современная ревматология. 2021;15(6):95–100. DOI: 10.14412/1996-7012-2021-6-95-100.
6. Ben-Chetrit E., Gattorno M., Gul A., Kastner D.L., Lachmann H.J., Touitou I. et al. Consensus proposal for taxonomy and definition of the autoinflammatory diseases (AIDs): a Delphi study. Ann. Rheum. Dis. 2018;77(11):1558–1565. DOI: 10.1136/annrheumdis-2017-212515.
7. Ozyilmaz B., Kirbiyik O., Koc A., Ozdemir T.R., Kaya Ozer O., Kutbay Y.B. et al. Molecular genetic evaluation of NLRP 3, MVK and TNFRSF 1A associated periodic fever syndromes. Int. J. Immunogenet. 2019;46(4):232–240. DOI: 10.1111/iji.12431.
8. Blaschek A., Kries R., Lohse P., Huss K., Vill K., Belohradsky B.H. et al. TNFRSF1A and MEFV mutations in childhood onset multiple sclerosis. Eur. J. Paediatr. Neurol. 2018;22(1):72–81. DOI: 10.1016/j.ejpn.2017.08.007.
9. Neocleous V., Byrou S., Toumba M., Costi C., Shammas C., Kyriakou C. et al. Evidence of digenic inheritance in autoinflammation-associated genes. J. Genet. 2016;95(4):761–766. DOI: 10.1007/s12041-016-0691-5.
Review
For citations:
Kurochkina Yu.D., Korolev M.A., Letyagina E.A., Fishman V.S., Gridina M.M., Valeeva E.S. A family case of a rare autoinflammatory disease associated with mutations in the NLRP3 and TNFRSF1A genes in the practice of a rheumatologist. Bulletin of Siberian Medicine. 2023;22(2):170-175. https://doi.org/10.20538/1682-0363-2023-2-170-175