Pediatric rheumatology

NLRP12-associated autoinflammatory disease: much more than the FCAS phenotype

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

In conclusion, the disease can cause effects on various tissues, especially the musculoskeletal and gastrointestinal systems, apart from FCAS symptoms.

Study context

Population
Children with preliminary diagnosis of systemic autoinflammatory disease (SAID) other than familial Mediterranean fever (FMF) and PFAPA evaluated with next-generation-sequence (NGS) genetic panel, January 2016–January 2022
Participants
17 children
Outcome
Clinical manifestations
Methodological detailspaediatric, NGS genetic-panel analysis
  • Paediatric
  • NGS genetic-panel analysis

Main finding

As reported in the abstract

Fever
100%
Arthritis/arthralgia
58.8%
Rash
52.9%
Abdominal pain
52.9%
Diarrhoea
41.2%
Myalgia/fatigue
53.2%
Conjunctivitis
11.7%
Triggered by cold exposure (patients)
3 (17.6%)

Observational data: associations, not effects.

Further findings

Age at diagnosis

Mean age at diagnosis (months)
114.7±69.5

Clinical manifestations triggered by cold exposure

Patients with cold-triggered manifestations
3 (17.6%)

NLRP12 variant classification

Pathogenic
7
Likely pathogenic
1
VUS
7
Novel heterozygous
2
Most common defined variant
R352C

Response to treatment

Complete response with colchicine
5
Partial response with colchicine
6
Attacks prevented with anti-IL-1 treatment in colchicine-unresponsive patients
6

Original publication

NLRP12-associated autoinflammatory disease: much more than the FCAS phenotype. Clin Exp Rheumatol. Published 28 July 2023. doi:10.55563/clinexprheumatol/kzggp3

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