Ter Haar, NM;
Eijkelboom, C;
Cantarini, L;
Papa, R;
Brogan, PA;
Kone-Paut, I;
Modesto, C;
... Eurofever registry and the Pediatric Rheumatology International; + view all
(2019)
Clinical characteristics and genetic analyses of 187 patients with undefined autoinflammatory diseases.
Annals of the Rheumatic Diseases
, 78
(10)
pp. 1405-1411.
10.1136/annrheumdis-2018-214472.
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Eurofever paper- Clinical characteristics and genetic analyses of 202 patients with undifferentiated recurrent fever.pdf - Accepted Version Download (475kB) | Preview |
Abstract
Objectives: To describe the clinical characteristics, treatment response and genetic findings in the largest cohort of patients with syndrome of undifferentiated recurrent fever (SURF). Methods: Clinical and genetic data from patients with SURF were extracted from the Eurofever registry, an international web-based registry that retrospectively collects clinical information on patients with autoinflammatory diseases. Results: In this study 202 patients were included. Seven patients had a chronic disease course, 195 patients had a recurrent disease course. The median age at disease onset was 4.6 years. Patients had a median of 12 episodes per year, with a median duration of 4 days. In 25 patients relatives were affected as well. Most commonly reported symptoms were arthralgia (n=125), myalgia (n=95), abdominal pain (n=98), fatigue (n=120), malaise (n=112), and mucocutaneous manifestations (n=139). In 17 patients genetic variants were found in autoinflammatory genes. These patients more often had affected relatives compared to patients without genetic variants (p=0.002). Most patients responded well to NSAIDs, corticosteroids, colchicine and anakinra. Complete remission was rarely achieved with NSAIDs alone. Notable patterns were found in patients with distinctive symptoms. Patients with pericarditis (n=12) were older at disease onset (32.3 years), and had fewer episodes per year (3.0/year) compared to other patients. Patients with an intellectual impairment (n=8) were younger at disease onset (2.2 years) and often had relatives affected (28.6%). Conclusion: This study describes the clinical characteristics in the largest cohort of SURF patients. Patients with genetic variants found more often had relatives affected.
| Type: | Article |
|---|---|
| Title: | Clinical characteristics and genetic analyses of 187 patients with undefined autoinflammatory diseases |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/annrheumdis-2018-214472 |
| Publisher version: | https://doi.org/10.1136/annrheumdis-2018-214472 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Autoinflammatory diseases, Recurrent fever, Inflammation, Eurofever |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10077985 |
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