Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature

Inherited disorders of the inflammasome pathway causes dysregulated inflammasome activation, which presents with inflammation and other clinical features linked to the defective protein. Eight mutations have been previously described in the NLRP1 inflammasome protein, causing different inflammatory...

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Main Authors: Nayan Patel Sureja, Liza Rajasekhar
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=1;spage=65;epage=68;aulast=Sureja
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author Nayan Patel Sureja
Liza Rajasekhar
author_facet Nayan Patel Sureja
Liza Rajasekhar
author_sort Nayan Patel Sureja
collection DOAJ
description Inherited disorders of the inflammasome pathway causes dysregulated inflammasome activation, which presents with inflammation and other clinical features linked to the defective protein. Eight mutations have been previously described in the NLRP1 inflammasome protein, causing different inflammatory skin disorders. Two of these mutations are associated with “autoinflammation with arthritis and dyskeratosis (AIADK),” a novel Mendelian auto-inflammatory disorder, in the 2017 International Union of Immunological Societies phenotypic classification for primary immunodeficiencies. We report a 22-year-old female, with recurrent generalized urticaria, periodic fever and pain abdomen, inflammatory polyarthritis, cutaneous lesions over the extremities, and persistently elevated inflammatory markers. On next-generation sequencing, a heterozygous missense mutation in exon 4 of the NLRP1 gene (chr17:G.5461839C>T) was detected, which results in the amino acid substitution of glutamine for arginine at codon 726 (c.2177G>A; p.Arg726Gln). A probable diagnosis of AIADK, possibly caused by this mutation was proposed, and patient responded well to colchicine.
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spelling doaj-art-e99d15d65a4c42fbad60fd273824ef352025-01-03T01:45:52ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012022-01-01171656810.4103/injr.injr_17_21Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literatureNayan Patel SurejaLiza RajasekharInherited disorders of the inflammasome pathway causes dysregulated inflammasome activation, which presents with inflammation and other clinical features linked to the defective protein. Eight mutations have been previously described in the NLRP1 inflammasome protein, causing different inflammatory skin disorders. Two of these mutations are associated with “autoinflammation with arthritis and dyskeratosis (AIADK),” a novel Mendelian auto-inflammatory disorder, in the 2017 International Union of Immunological Societies phenotypic classification for primary immunodeficiencies. We report a 22-year-old female, with recurrent generalized urticaria, periodic fever and pain abdomen, inflammatory polyarthritis, cutaneous lesions over the extremities, and persistently elevated inflammatory markers. On next-generation sequencing, a heterozygous missense mutation in exon 4 of the NLRP1 gene (chr17:G.5461839C>T) was detected, which results in the amino acid substitution of glutamine for arginine at codon 726 (c.2177G>A; p.Arg726Gln). A probable diagnosis of AIADK, possibly caused by this mutation was proposed, and patient responded well to colchicine.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=1;spage=65;epage=68;aulast=Surejaautoinflammatory syndromeinflammasomeinflammasomopathiesnlrp1primary immunodeficiency diseases
spellingShingle Nayan Patel Sureja
Liza Rajasekhar
Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature
Indian Journal of Rheumatology
autoinflammatory syndrome
inflammasome
inflammasomopathies
nlrp1
primary immunodeficiency diseases
title Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature
title_full Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature
title_fullStr Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature
title_full_unstemmed Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature
title_short Autoinflammation with arthritis and dyskeratosis an inflammasomopathy: Case report and review of literature
title_sort autoinflammation with arthritis and dyskeratosis an inflammasomopathy case report and review of literature
topic autoinflammatory syndrome
inflammasome
inflammasomopathies
nlrp1
primary immunodeficiency diseases
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=1;spage=65;epage=68;aulast=Sureja
work_keys_str_mv AT nayanpatelsureja autoinflammationwitharthritisanddyskeratosisaninflammasomopathycasereportandreviewofliterature
AT lizarajasekhar autoinflammationwitharthritisanddyskeratosisaninflammasomopathycasereportandreviewofliterature