A case of periodic-fever-syndrome-like disorder with lipodystrophy, myositis, and autoimmune abnormalities

被引:11
作者
Kasagi, Shimpei [1 ]
Kawano, Seiji [1 ]
Nakazawa, Takashi [1 ]
Sugino, Hirotoshi [2 ]
Koshiba, Masahiro [3 ]
Ichinose, Kunihiro [4 ]
Ida, Hiroaki [4 ]
Eguchi, Katsumi [4 ]
Kumagai, Shunichi [1 ]
机构
[1] Kobe Univ, Dept Clin Pathol & Immunol, Grad Sch Med, Chuo Ku, Kobe, Hyogo 6500017, Japan
[2] Sugino Syonika Clin, Asakita Ku, Hiroshima 7310231, Japan
[3] Hyogo Coll Med, Dept Clin Lab, Nishinomiya, Hyogo 6638501, Japan
[4] Nagasaki Univ, Dept Internal Med 1, Nagasaki Univ Hosp Med & Dent, Grad Sch Biomed Sci, Nagasaki 8528501, Japan
关键词
Periodic fever syndrome; Myositis; Lipodystrophy; TNF-alpha;
D O I
10.1007/s10165-008-0033-4
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
A 24-year-old Japanese woman had been suffering from a periodic fever since 10 months of age. She developed deformities in her fingers, with severe atrophy of subcutaneous adipose tissue, myositis, and frostbitten hands. She showed elevated C-reactive protein, creatine kinase, and gamma-globulin. She was also positive for antinuclear, anti-DNA, anti-SS-B, and anti-U1RNP antibodies. Her myositis was similar to amyopathic dermatomyositis rather than juvenile dermatomyositis. Although consanguineous marriage of her parents and early onset of disease suggested her disease as a hereditary disorder with periodic fever, her clinical feature and laboratory tests were unlike any known periodic fever syndromes. Her disease was regarded as a unique type of periodic-fever-syndrome-like disorder with autoimmune abnormalities.
引用
收藏
页码:203 / 207
页数:5
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