Clinical and Experimental Medicine

, Volume 5, Issue 3, pp 87–98

Hereditary periodic fever and reactive amyloidosis

  • J. C. H. van der Hilst
  • A. Simon
  • J. P. H. Drenth
REVIEW

DOI: 10.1007/s10238-005-0071-6

Cite this article as:
van der Hilst, J.C.H., Simon, A. & Drenth, J.P.H. Clin. Exper.Med. (2005) 5: 87. doi:10.1007/s10238-005-0071-6

Abstract

Hereditary periodic fever syndromes (HPF) are a group of diseases characterised by recurrences of fever and inflammation separated by symptom-free intervals. Familial Mediterranean fever (FMF) is the most frequent entity within this group of disorders which further consists of hyperimmunoglobulinaemia D and periodic fever syndrome (HIDS), tumour necrosis factor receptor-associated periodic syndrome (TRAPS) and cryopyrin-associated periodic syndrome (CAPS). In recent years the causative genes have been identified. Reactive amyloidosis is a severe complication of HPFs. This is caused by deposition of fibrils that consist of the proteolytically cleaved acutephase protein serum amyloid A (SAA). Several factors have been identified that modulate the risk for developing amyloidosis, including SAA concentrations, polymorphisms in the SAA gene and ethnic origin. Furthermore, the risk of developing amyloidosis varies widely between the different HPFs. Colchicine is the cornerstone in the management of FMF, as it reduces the severity and frequency of attacks and is also effective in preventing amyloidosis. In the other HPFs, the introduction of anticytokine-based therapies is a promising new option in treating these inflammatory conditions and they potentially can prevent amyloidosis.

Key words

AmyloidosisSAAFMFTRAPSHIDSCAPSPeriodic fever

Copyright information

© Springer-Verlag Italia 2005

Authors and Affiliations

  • J. C. H. van der Hilst
    • 1
  • A. Simon
    • 1
  • J. P. H. Drenth
    • 2
  1. 1.Division of General Internal Medicine, Department of MedicineRadboud University Nijmegen Medical CenterHB NijmegenThe Netherlands
  2. 2.Division of Gastroenterology and Hepatology, Department of MedicineRadboud University Nijmegen Medical CenterNijmegenThe Netherlands