从荨麻疹到正确诊断:冷冻素相关周期性综合征1例报告。

IF 3 3区 医学 Q2 ALLERGY
Journal of Asthma and Allergy Pub Date : 2025-04-09 eCollection Date: 2025-01-01 DOI:10.2147/JAA.S509939
Xue Wang, Nan Zhou, Yuxiang Zhi
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引用次数: 0

摘要

冻血素相关周期性综合征(CAPS)是一种罕见的自身炎症性疾病,常被误诊为荨麻疹或荨麻疹血管炎,从而延误了患者的治疗。这份报告展示了一个大的CAPS谱系。先证者是一名57岁男性,复发性荨麻疹样皮疹、发热和关节痛50多年,听力丧失28年。他的16名亲属有类似症状。一代测序显示c.778C>T;在NLRP3基因中发现p.(Arg260Trp)变异,证实了CAPS的诊断。本病例报告的目的是提高对cap及其各种临床表现的认识,强调荨麻疹可能是自身炎症性疾病的表现,从而提高诊断的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes.

From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes.

From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes.

From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes.

Cryopyrin-associated periodic syndrome (CAPS) is a rare autoinflammatory disorder often misdiagnosed as urticaria or urticarial vasculitis, thereby delaying treatment for patients. This report presents a large CAPS pedigree. The proband was a 57-year-old man with recurrent urticaria-like rash, fever, and arthralgia for more than 50 years and hearing loss for 28 years. Sixteen of his relatives had similar symptoms. One-generation sequencing revealed a c.778C>T; p.(Arg260Trp) variant in the NLRP3 gene, confirming the diagnosis of CAPS. The aim of this case report is to raise awareness of CAPS and its various clinical manifestations, highlighting that urticaria may be a presentation of autoinflammatory diseases, thereby improving diagnostic accuracy.

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来源期刊
Journal of Asthma and Allergy
Journal of Asthma and Allergy Medicine-Immunology and Allergy
CiteScore
5.30
自引率
6.20%
发文量
185
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal publishing original research, reports, editorials and commentaries on the following topics: Asthma; Pulmonary physiology; Asthma related clinical health; Clinical immunology and the immunological basis of disease; Pharmacological interventions and new therapies. Although the main focus of the journal will be to publish research and clinical results in humans, preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies.
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