• J Clin Rheumatol · Dec 2005

    Case Reports

    Hereditary periodic fever syndrome sans fever or distinct periodicity presenting with psychosis.

    • Miriam Hurst, Keith Hull, Dave Nicholls, and Rohan Ameratunga.
    • Department of Clinical Immunology, Auckland Hospital, New Zealand.
    • J Clin Rheumatol. 2005 Dec 1;11(6):329-30.

    AbstractThe genetic basis for several hereditary periodic fever syndromes has been identified and consequently, the phenotypic spectrum of these disorders has broadened. We describe a young woman with tumor necrosis factor receptor-associated periodic syndrome (TRAPS), proven by mutational analysis, who presented with psychosis but without fever, symptom periodicity, or similar family medical history. This patient represents the first case of TRAPS-associated psychosis. This case illustrates the importance of mutation analysis for this group of disorders in individuals presenting with unexplained inflammatory symptoms and recurrent psychoses.

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