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Published on: September 22, 2019
[From hereditary recurrent fevers to autoinflammatory syndromes: the contribution of genetics]
1Laboratoire de biochimie et génétique moléculaire, APHP Hôpital Cochin, 123 bd de Port Royal, 75014 Paris. marc.delpech@inserm.fr
Abstract:
Hereditary recurrent fevers are rare genetic diseases characterized by febrile periods of variable duration. Classically, four such diseases were recognized, namely familial Mediterranean fever (previously called periodic disease in France), the Muckle-Wells syndrome, Hibernian fever, and hyper IgD with recurrent fever. The discovery of culprit genes has led to an overhaul of this classification. Molecular diagnosis of these diseases, that are difficult to identify on clinical grounds alone, is now possible. Timely diagnosis is particularly important as, in the absence of treatment, there is a risk of secondary AA amyloidosis, which is fatal within 5 to 10 years. The discovery of underlying genetic mechanisms has also led to the development of new therapeutic approaches, which are currently being tested in clinical trials.
Insights
Hereditary recurrent fevers are rare genetic disorders. Genetic discoveries now enable molecular diagnosis and targeted therapies for these conditions, improving patient outcomes.
Area of Science:
- Genetics
- Immunology
- Rheumatology
Context:
- Hereditary recurrent fevers are rare genetic disorders.
- Traditionally classified into four main types.
- Clinical diagnosis can be challenging.
Purpose:
- To review the classification and diagnosis of hereditary recurrent fevers.
- To highlight the impact of genetic discoveries.
- To discuss current and future therapeutic strategies.
Summary:
- Rare genetic fevers include familial Mediterranean fever, Muckle-Wells syndrome, Hibernian fever, and hyper IgD with recurrent fever.
- Genetic discoveries have refined classification and enabled molecular diagnosis.
- Early diagnosis is crucial to prevent fatal AA amyloidosis.
Impact:
- Molecular diagnostics improve accuracy and speed of identification.
- Understanding genetic mechanisms drives development of novel treatments.
- New therapies are under investigation in clinical trials.
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