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Dermatol Clin. 2013 Jul;31(3):481-94. doi: 10.1016/j.det.2013.04.003. Epub 2013 Jun 2.

Autoinflammatory diseases in pediatrics.

Author information

1
Program in Rheumatology, Division of Immunology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. jonathan.hausmann@childrens.harvard.edu

Abstract

Autoinflammatory diseases (AIDs) are characterized by recurrent episodes of systemic and organ-specific inflammation. Many of these diseases share fever as a common presenting feature. Physicians need to consider AIDs in children with recurrent, unexplained fevers, when infectious and malignant causes have been discarded. This article discusses the differential diagnosis of recurrent fever in children, with a focus on AIDs. It discusses pharyngitis, and cervical adenitis and the monogenic autoinflammatory diseases that cause recurrent fevers including familial Mediterranean fever, hyper-immunoglobulin (Ig) D and periodic fever syndrome, tumor necrosis factor receptor-associated periodic syndrome, cryopyrin associated periodic syndromes, deficiency of interleukin-36 receptor antagonist, Majeed syndrome, chronic atypical neutrophilic dermatosis with lipodystrophy and increased temperature syndrome, and deficiency of the interleukin-1 receptor antagonist. In addition, the granulomatous disorders, pyogenic sterile arthritis, pyoderma gangrenosum, and acne and Blau syndrome, will be discussed.

KEYWORDS:

Autoinflammatory diseases; CAPS; Familial Mediterranean fever; HIDS; PFAPA; Pediatrics; Periodic fever; TRAPS

PMID:
23827250
DOI:
10.1016/j.det.2013.04.003
[Indexed for MEDLINE]
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