Pediatr Nephrol. 2007 Sep;22(9):1391-4. Epub 2007 May 8.

A variant Muckle-Wells syndrome with a novel mutation in CIAS1 gene responding to anakinra.

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Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey.

Abstract

Muckle-Wells syndrome (MWS) is a subset of autoinflammatory diseases. It is characterized by recurrent inflammatory crises associated with fever, abdominal pain, persistent urticaria, arthralgia, sensorineural deafness, and possible development of multiorgan amyloid A protein (AA)-type amyloidosis. Mutations in the CIAS1 gene have been reported in MWS. Interleukin 1B (IL-1B) probably plays a major role in the pathophysiology of the disease, and IL-1B blockade may be therapeutic for this syndrome. We report here a Turkish child with MWS treated with anakinra. A novel mutation (I480F) was identified in exon 3 of the CIAS1 gene in this patient. The resolution of inflammatory symptoms, normalization of serological values, and improvement in hearing was noted with anakinra treatment.

PMID:: 17486372; [PubMed - indexed for MEDLINE]

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