Abstract
Hereditary periodic fever syndromes (HPFSs) are a subset of human autoinflammatory diseases characterized by periodic episodes of fever and signs of inflammation with or without involvement of inner organs. In this paper, we report phenotypic features of an index patient and affected family members that present a previously not described mutation type in the TNFRSF1A gene. The phenotype of a HPFS of affected family members was shown to be associated with two monoallelic mutations in TNFRSF1A. Primarily, the index patient was clinically diagnosed as being affected by familial Mediterranean fever (FMF). However, with molecular genetic analyses, it could be shown that the patient was in fact affected by tumor necrosis factor receptor-associated periodic syndrome, which requires a different therapy when compared with FMF. Thus, molecular genetic analyses of currently known disease loci enable the most precise diagnosis presently available and are consequently the basis for the most effective therapeutic intervention.
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Acknowledgments
Investigation of probands was performed according to the principles of the World Medical Association Declaration of Helsinki (WMA, General Assembly, 2004). We thank Andrea Rathmann-Schmitz for her assistance in preparing the manuscript for publication.
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Trübenbach, J., Wildhardt, G., Niebel, J. et al. A monoallelic double mutation as a cause for TNF receptor-associated periodic fever syndrome. Rheumatol Int 30, 805–809 (2010). https://doi.org/10.1007/s00296-009-0996-2
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DOI: https://doi.org/10.1007/s00296-009-0996-2