• Medicina clinica · Jan 2018

    Review

    Monogenic autoinflammatory diseases: General concepts and presentation in adult patients.

    • José Hernández-Rodríguez, Estíbaliz Ruiz-Ortiz, and Jordi Yagüe.
    • Unidad Clínica de Enfermedades Autoinflamatorias y Unidad de Investigación en Vasculitis, Servicio de Enfermedades Autoinmunes, Hospital Clínic de Barcelona, Universidad de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, España. Electronic address: jhernan@clinic.ub.es.
    • Med Clin (Barc). 2018 Jan 23; 150 (2): 67-74.

    AbstractMonogenic autoinflammatory diseases (AIFD) are rare disorders characterized by an uncontrolled increase of the systemic inflammatory response, which is caused by mutations in genes involved in inflammatory pathways. Over the last few years, new genes and proteins responsible for new monogenic AIFD have been identified and a substantial improvement in their treatment has been achieved. Monogenic AIFD manifestations typically begin during childhood, but they can also occur in adults. Compared to pediatric patients, adults usually present with a less severe disease and fewer long-term complications. In addition, patients with adult-onset disease carry low-penetrance mutations more often than pathogenic variants. A late-onset of AIFD may be occasionally associated with the presence of somatic mutations. In this study, we review the most frequent monogenic AIFD, and others recently described, which may occur during adulthood.Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

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