DGIM Innere Medizin pp 1-12 | Cite as
Autoinflammatorische Erkrankungen
Zusammenfassung
Im Gegensatz zu Autoimmunerkrankungen, bei denen ein Fehler bei Selbsterkennung und Immunabwehr im Vordergrund steht, führen bei den autoinflammatorischen Erkrankungen antigenunabhängige Entzündungsmechanismen zu einer unkontrollierten Überproduktion proinflammatorischer Zytokine. Autoinflammatorische Erkrankungen sind typischerweise durch Fieber gekennzeichnet (Fiebersyndrome), das bei serologischer Entzündungsaktivität mit weiteren Organmanifestationen, häufig unter Einbeziehung der Haut und des muskuloskelettalen Systems, einhergehen kann. Das Spektrum ist vielfältig, wobei regelmäßig neue, oft sehr seltene Krankheitsbilder beschrieben werden. Die meisten dieser Erkrankungen beginnen bereits im Kindesalter, teilweise können erste Erkrankungszeichen aber auch erst im Erwachsenenalter auftreten. Dieses Kapitel geht auf folgende Erkrankungen ein: Still-Syndrom des Erwachsenen, Schnitzler-Syndrom, PFAPA-Syndrom, Familiäres Mittelmeerfieber (FMF), Cryopyrin-assoziierte periodische Syndrome (CAPS), Tumornekrosefaktor-alpha-Rezeptor-assoziiertes periodisches Syndrom (TRAPS) und Hyper-IgD-Syndrom.
Literatur
- Ben-Chetrit E, Ben-Chetrit A, Berkun Y, Ben-Chetrit E (2010) Pregnancy outcomes in women with familial Mediterranean fever receiving colchicine: is amniocentesis justified? Arthritis Care Res (Hoboken) 62:143CrossRefGoogle Scholar
- Dinarello CA, van der Meer JW (2013) Treating inflammation by blocking interleukin-1 in humans. Semin Immunol 25:469CrossRefGoogle Scholar
- French Familial Mediterranean Fever Consortium (1997) A candidate gene for familial Mediterranean fever. Nat Genet 17:25–31CrossRefGoogle Scholar
- Gattorno M, Pelagatti MA, Meini A et al (2008) Persistent efficacy of anakinra in patients with tumor necrosis factor receptor-associated periodic syndrome. Arthritis Rheum 58:1516CrossRefGoogle Scholar
- Gattorno M, Obici L, Cattalini M et al (2017) Canakinumab treatment for patients with active recurrent or chronic TNF receptor-associated periodic syndrome (TRAPS): an open-label, phase II study. Ann Rheum Dis 76:173CrossRefGoogle Scholar
- Goldfinger SE (1972) Colchicine for familial Mediterranean fever. N Engl J Med 287:1302PubMedGoogle Scholar
- Grimwood C, Despert V, Jeru I, Hentgen V (2015) On-demand treatment with anakinra: a treatment option for selected TRAPS patients. Rheumatology (Oxford) 54:1749CrossRefGoogle Scholar
- Gusdorf L, Lipsker D (2017) Schnitzler Syndrome: a Review. Curr Rheumatol Rep 19(8):46. https://doi.org/10.1007/s11926-017-0673-5CrossRefPubMedGoogle Scholar
- Hawkins PN, Lachmann HJ, Aganna E, McDermott MF (2004) Spectrum of clinical features in Muckle-Wells syndrome and response to anakinra. Arthritis Rheum 50:607CrossRefGoogle Scholar
- Hilst JC van der, Bodar EJ, Barron KS, et al. Long-term follow-up, clinical features, and quality of life in a series of 103 patients with hyperimmunoglobulinemia D syndrome. Medicine (Baltimore) 2008; 87:301CrossRefGoogle Scholar
- Hoffman HM (2007) Hereditary immunologic disorders caused by pyrin and cryopyrin. Curr Allergy Asthma Rep 7(5):323–330CrossRefGoogle Scholar
- Hoffman HM, Wanderer AA, Broide DH (2001a) Familial cold autoinflammatory syndrome: phenotype and genotype of an autosomal dominant periodic fever. J Allergy Clin Immunol 108:615–620CrossRefGoogle Scholar
- Hoffman HM, Mueller JL, Broide DH, Wanderer AA, Kolodner RD (2001b) Mutation of a new gene encoding a putative pyrin-like protein causes familial cold autoinflammatory syndrome and Muckle–Wells syndrome. Nat Genet 29:301–305CrossRefGoogle Scholar
- Hull KM, Drewe E, Aksentijevich I, Singh HK, Wong K, McDermott EM et al (2002) The TNF receptor-associated periodic syndrome (TRAPS): emerging concepts of an autoinflammatory disorder. Medicine (Baltimore) 81(5):349CrossRefGoogle Scholar
- Kedor C, Feist E (2017) Adult-onset still’s disease: new developments in diagnostics and treatment. Akt Rheumatol 42(01):37–45. https://doi.org/10.1055/s-0042-118879CrossRefGoogle Scholar
- Kraszewska-Głomba B, Matkowska-Kocjan A, Szenborn L (2015) The pathogenesis of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis syndrome: a review of current research. Mediat Inflamm 2015:563876. https://doi.org/10.1155/2015/563876CrossRefGoogle Scholar
- Kuemmerle-Deschner JB, Ozen S, Tyrrell PN et al (2017) Diagnostic criteria for cryopyrin-associated periodic syndrome (CAPS). Ann Rheum Dis 76:942CrossRefGoogle Scholar
- Lachmann HJ, Kone-Paut I, Kuemmerle-Deschner JB et al (2009) Use of canakinumab in the cryopyrin-associated periodic syndrome. N Engl J Med 360:2416CrossRefGoogle Scholar
- Lachmann HJ, Papa R, Gerhold K, Obici L, Touitou I, Cantarini L et al (2014) The phenotype of TNF receptor-associated autoinflammatory syndrome (TRAPS) at presentation: a series of 158 cases from the Eurofever/EUROTRAPS international registry. Ann Rheum Dis 73(12):2160CrossRefGoogle Scholar
- Livneh A, Langevitz P, Zemer D et al (1997) Criteria for the diagnosis of familial Mediterranean fever. Arthritis Rheum 40:1879CrossRefGoogle Scholar
- Manthiram K, Lapidus S, Edwards K (2017) Unraveling the pathogenesis of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis through genetic, immunologic, and microbiologic discoveries: an update. Curr Opin Rheumatol 29(5):493–499. https://doi.org/10.1097/BOR.0000000000000418CrossRefPubMedGoogle Scholar
- Meer JW van der, Vossen JM, Radl J, et al. Hyperimmunoglobulinaemia D and periodic fever: a new syndrome. Lancet 1984; 1:1087Google Scholar
- Muckle TJ, Wells M (1962) Urticaria, deafness, and amyloidosis: a new heredo-familial syndrome. Q J Med 31:235PubMedGoogle Scholar
- Ozen S, Demirkaya E, Erer B et al (2016) EULAR recommendations for the management of familial Mediterranean fever. Ann Rheum Dis 75:644CrossRefGoogle Scholar
- Picco P, Gattorno M, Di Rocco M, Buoncompagni A (2001) Non-steroidal anti-inflammatory drugs in the treatment of hyper-IgD syndrome. Ann Rheum Dis 60:904PubMedPubMedCentralGoogle Scholar
- Samuels J, Ozen S (2006) Familial Mediterranean fever and the other autoinflammatory syndromes: evaluation of the patient with recurrent fever. Curr Opin Rheumatol 18:108–117CrossRefGoogle Scholar
- Sevillano ÁM, Hernandez E, Gonzalez E et al (2016) Anakinra induces complete remission of nephrotic syndrome in a patient with familial mediterranean fever and amyloidosis. Nefrologia 36:63CrossRefGoogle Scholar
- Simon A, Asli B, Braun-Falco M et al (2013) Schnitzler’s syndrome: diagnosis, treatment, and follow-up. Allergy 68(5):562–568. https://doi.org/10.1111/all.12129CrossRefPubMedGoogle Scholar
- Ter Haar NM, Lachmann H, Özen S et al (2013) Treatment of autoinflammatory diseases: results from the Eurofever Registry and a literature review. Ann Rheum Dis 72:678CrossRefGoogle Scholar
- Ter Haar NM, Oswald M, Jeyaratnam J et al (2015) Recommendations for the management of autoinflammatory diseases. Ann Rheum Dis 74:1636CrossRefGoogle Scholar
- The International Familial Mediterranean Fever Consortium (1997) Ancient missense mutations in a new member of the RoRet gene family are likely to cause familial Mediterranean fever. Cell 90:797–807CrossRefGoogle Scholar
- Yamaguchi M, Ohta A, Tsunematsu T et al (1992) Preliminary criteria for classification of adult Still’s disease. J Rheumatol 19:424–430PubMedGoogle Scholar