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Cryopyrin蛋白相关综合征1例

A Case of Cryopyrin-associated Periodic Syndromes
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摘要 Cryopyrin蛋白相关综合征(CAPS)是一组罕见的遗传性自身炎症反应综合征,与CIAS1/PYPAF1/NALP3基因突变有关。临床共同表现包括发病年龄早,周期性发作的青斑样、荨麻疹或荨麻疹样皮损,伴发热寒战、乏力、关节痛,病情多与冷刺激相关,表现冬重夏轻。部分患者还有眼部症状和神经系统障碍,甚至发展为系统淀粉样变。抗组胺药物治疗无效,而抗IL-1生物制剂治疗有理想效果。我们近期遇诊1个典型患者,现作报道以供临床参考。 Cryopyrin-associated periodic syndrome (CAPS) is a rare spectrum of rare, inherited auto-inflammatory diseases which is associated with the mutation of CIAS1/PYPAF1/NALP3 gene. The clinical features of CAPS are cold-induced, and manifest as early-onset, periodic livedo, urticaria or urticaria-like eruption accompanied with fever, fatigue and arthralgia. Some patients may also have ophthalmological and neurological involvement, and even develop to systemic amyloidosis. Antihistamine drugs are ineffective in this disorder, but the biological agents which block the interleukin-I show satisfactory effect on the treatment of CAPS. Here we present a typical case with CAPS.
出处 《皮肤性病诊疗学杂志》 2010年第4期265-267,273,共4页 Journal of Diagnosis and Therapy on Dermato-venereology
关键词 Cryopyrin蛋白相关综合征 Cryopyrin-associated periodic syndromes
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参考文献12

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二级参考文献6

  • 1http://www.capscommunity.com/caps_fact_caps pat.html.
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  • 3Hoffman HM, Wanderer AA, Broide DH. Familial cold autoinflammatory syndrome: Phenotype and genotype of an autosomal dominant periodic fever. J Allergy Clin Immunol, 2001, 108(4): 615-620.
  • 4Koike R, Kubota T, Hara Y, et al. A case of Muckle-Wells syndrome caused by a novel H312P mutation in NALP3 (cryopyrin). Mod Rheumatol, 2007, 17(6): 496-499.
  • 5Gunduz Z, Dursun I, Arostegui JI, et al. A fatal turkish case of CINCA-NOMID syndrome due to the novel Val-351-Leu CIASI gene mutation. Rheumatol Int, 2008, 28(4): 379-383.
  • 6Jesus AA, Silva CA, Sequndo GR, et al. Phenotype-genotype analysis of cryopyrin-associated periodic syndromes (CAPS): description of a rare non-exon 3 and a novel CIAS1 missense mutation. J Clin Immunol, 2008, 28 (2): 134-138.

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