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Updated: Feb 26, 2026

Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
Pitfall of modern genetics: recurrent erysipelas masquerading as autoinflammatory disease
E J W Spierings1, J W M van der Meer, A Simon
1Department of Internal Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands.
Abstract:
A patient presented with recurrent episodes of fever and skin rash for eight years. DNA analysis of the NLRP3 gene revealed a mutation associated with autoinflammatory disease. After an initial positive response to the biological anakinra, the patient deteriorated. Reassessment revealed recurrent erysipelas. In conclusion, sometimes erysipelas-like skin rash is real erysipelas, and DNA results are not always the final answer.
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