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A case of Muckle–Wells syndrome caused by a novel H312P mutation in NALP3 (cryopyrin)

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Modern Rheumatology

Abstract

Here, we report a case of Muckle–Wells syndrome (MWS) caused by a novel mutation in the CIAS1/NALP3 gene. A 23-year-old woman had recurrent self-limited inflammatory episodes from childhood, with headache, abdominal pain, arthritis, and urticarial rash, associated with profound sensorineural hearing loss. The diagnosis was established on the basis of a typical clinical picture together with a missense mutation, which replaced an amino acid adjacent to one in an earlier reported case of MWS resembling this one.

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References

  1. S Ozen HM Hoffman J Frenkel D Kastner (2006) ArticleTitleFamilial Mediterranean fever (FMF) and beyond: a new horizon. Fourth international congress on the systemic autoinflammatory diseases held in Bethesda, USA, 6–10 November 2005 Ann Rheum Dis 65 961–4 Occurrence Handle16606647 Occurrence Handle10.1136/ard.2006.052688 Occurrence Handle1:STN:280:DC%2BD28zlsVKgsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  2. TJ Muckle M Wells (1962) ArticleTitleUrticaria, deafness, and amyloidosis: a new heredo-familial syndrome Q J Med 31 235–48 Occurrence Handle14476827 Occurrence Handle1:STN:280:CC2D2sfjtFM%3D

    PubMed  CAS  Google Scholar 

  3. T Kubota R Koike (2007) ArticleTitleBiological and clinical aspects of Muckle–Wells syndrome (in Japanese) Jpn J Clin Immunol 30 114–22 Occurrence Handle10.2177/jsci.30.114

    Article  Google Scholar 

  4. INFEVERS Homepage. Available from: http://fmf.igh.cnrs.fr/ISSAID/infevers/index.php

  5. J Tschopp F Martinon K Burns (2003) ArticleTitleNALPs: a novel protein family involved in inflammation Nat Rev Mol Cell Biol 4 95–104 Occurrence Handle12563287 Occurrence Handle10.1038/nrm1019 Occurrence Handle1:CAS:528:DC%2BD3sXnsFaquw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. F Martinon J Tschopp (2005) ArticleTitleNLRs join TLRs as innate sensors of pathogens Trends Immunol 26 447–54 Occurrence Handle15967716 Occurrence Handle10.1016/j.it.2005.06.004 Occurrence Handle1:CAS:528:DC%2BD2MXmsVOntr0%3D

    Article  PubMed  CAS  Google Scholar 

  7. Homepage of Ministry of education, culture, sports, science and technology. Available from: http://www.mext.go.jp/bmenu/houdou/18/10/06100304/003/002.pdf

  8. HM Hoffman JL Mueller DH Broide AA Wanderer RD Kolodner (2001) ArticleTitleMutation of a new gene encoding a putative pyrin-like protein causes familial cold autoinflammatory syndrome and Muckle–Wells syndrome Nat Genet 29 301–5 Occurrence Handle11687797 Occurrence Handle10.1038/ng756 Occurrence Handle1:CAS:528:DC%2BD3MXotlWgs7Y%3D

    Article  PubMed  CAS  Google Scholar 

  9. PN Hawkins HJ Lachmann (2003) ArticleTitleInterleukin-1-receptor antagonist in the Muckle–Wells syndrome N Engl J Med 348 2583–4 Occurrence Handle12815153 Occurrence Handle10.1056/NEJM200306193482523

    Article  PubMed  Google Scholar 

  10. PN Hawkins HJ Lachmann E Aganna MF McDermott (2004) ArticleTitleSpectrum of clinical features in Muckle–Wells syndrome and response to anakinra Arthritis Rheum 50 607–12 Occurrence Handle14872505 Occurrence Handle10.1002/art.20033 Occurrence Handle1:CAS:528:DC%2BD2cXhvFeiu74%3D

    Article  PubMed  CAS  Google Scholar 

  11. T Mirault D Launay L Cuisset E Hachulla M Lambert V Queyrel et al. (2006) ArticleTitleRecovery from deafness in a patient with Muckle–Wells syndrome treated with anakinra Arthritis Rheum 54 1697–700 Occurrence Handle16646042 Occurrence Handle10.1002/art.21807

    Article  PubMed  Google Scholar 

  12. M Rynne C Maclean A Bybee MF McDermott P Emery (2006) ArticleTitleHearing improvement in a patient with variant Muckle–Wells syndrome in response to interleukin 1 receptor antagonism Ann Rheum Dis 65 533–4 Occurrence Handle16531551 Occurrence Handle10.1136/ard.2005.038091 Occurrence Handle1:STN:280:DC%2BD287ktFKjtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. J Feldmann A-M Prieur P Quartier P Berquin S Certain E Cortis et al. (2002) ArticleTitleChronic infantile neurological cutaneous and articular syndrome is caused by mutations in CIAS1, a gene highly expressed in polymorphonucear cells and chondrocytes Am J Hum Genet 71 198–203 Occurrence Handle12032915 Occurrence Handle10.1086/341357 Occurrence Handle1:CAS:528:DC%2BD38Xlt1Krtrs%3D

    Article  PubMed  CAS  Google Scholar 

  14. T Matsubayashi H Sugiura T Arai T Oh-Ishi Y Inamo (2006) ArticleTitleAnakinra therapy for CINCA syndrome with a novel mutation in exon 4 of the CIAS1 gene Acta Paediatr 95 246–9 Occurrence Handle16449034 Occurrence Handle10.1080/08035250500341451

    Article  PubMed  Google Scholar 

  15. T Matsubara M Hasegawa M Shiraishi HM Hoffman T Ichiyama T Tanaka et al. (2006) ArticleTitleA severe case of chronic infantile neurologic, cutaneous, articular syndrome treated with biologic agents Arthritis Rheum 54 2314–20 Occurrence Handle16802372 Occurrence Handle10.1002/art.21965

    Article  PubMed  Google Scholar 

  16. M Saito A Fujisawa R Nishikomori N Kambe M Nakata-Hizume M Yoshimoto et al. (2005) ArticleTitleSomatic mosaicism of CIAS1 in a patient with chronic infantile neurologic, cutaneous, articular syndrome Arthritis Rheum 52 3579–85 Occurrence Handle16255047 Occurrence Handle10.1002/art.21404 Occurrence Handle1:CAS:528:DC%2BD2MXht1Krur%2FJ

    Article  PubMed  CAS  Google Scholar 

  17. S Kagami H Saeki Y Kuwano S Imakado K Tamaki (2006) ArticleTitleA probable case of Muckle–Wells syndrome J Dermatol 2 118–21 Occurrence Handle10.1111/j.1346-8138.2006.00025.x

    Article  Google Scholar 

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Correspondence to Ryuji Koike.

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Koike, R., Kubota, T., Hara, Y. et al. A case of Muckle–Wells syndrome caused by a novel H312P mutation in NALP3 (cryopyrin). Mod Rheumatol 17, 496–499 (2007). https://doi.org/10.1007/s10165-007-0616-5

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  • DOI: https://doi.org/10.1007/s10165-007-0616-5

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