PMID- 16218464 OWN - NLM STAT- MEDLINE DCOM- 20051221 LR - 20170214 IS - 0961-2033 (Print) IS - 0961-2033 (Linking) VI - 14 IP - 9 DP - 2005 TI - Idiopathic recurrent acute pericarditis: familial Mediterranean fever mutations and disease evolution in a large cohort of Caucasian patients. PG - 670-4 AB - Idiopathic recurrent acute pericarditis (IRAP) is suspected to be an autoimmune phenomenon. We studied 46 consecutive patients. We looked for: 1) the occurrence of new diagnoses of autoimmune diseases during our follow up; 2) HLA typing; and 3) the presence of the most frequent mutations linked to familial Mediterranean fever (FMF gene or MEFV). HLA typing was done in 21 patients at loci B, DRB1, DQA1 and DQB1. MEFV gene was looked in 23 patients using specific primers. During the follow-up we made a new diagnosis of primary Sjogren's syndrome in four patients (8.7%) and of rheumatoid arthritis in one patient (2.2%). HLA B14, DRB1*01 and DQB1*0202 were significantly more prevalent, but we did not find a typical HLA typing. MEFV gene was searched: exon 10 was checked by sequence and the E148Q mutation by restriction site analysis. No mutations were found. In conclusion, the prevalence of definite immunorheumatological diseases and the absence of the mutations linked to FMF reinforce the notion that idiopathic acute recurrent pericarditis is an autoimmune condition. FAU - Brucato, A AU - Brucato A AD - Department of Medicine, Niguarda Hospital Milano, Italy. antonio.brucato@ospedaleniguarda.it FAU - Shinar, Y AU - Shinar Y FAU - Brambilla, G AU - Brambilla G FAU - Robbiolo, L AU - Robbiolo L FAU - Ferrioli, G AU - Ferrioli G FAU - Patrosso, M C AU - Patrosso MC FAU - Zanni, D AU - Zanni D FAU - Penco, S AU - Penco S FAU - Boiani, E AU - Boiani E FAU - Ghirardello, A AU - Ghirardello A FAU - Caforio, A L P AU - Caforio AL FAU - Bergantin, A AU - Bergantin A FAU - Tombini, V AU - Tombini V FAU - Moreo, A AU - Moreo A FAU - Ashtamkar, L AU - Ashtamkar L FAU - Doria, A AU - Doria A FAU - Shoenfeld, Y AU - Shoenfeld Y FAU - Livneh, A AU - Livneh A LA - eng PT - Journal Article PL - England TA - Lupus JT - Lupus JID - 9204265 RN - 0 (HLA Antigens) SB - IM MH - Arthritis, Rheumatoid/diagnosis/genetics/immunology MH - Autoimmune Diseases/genetics MH - Biological Evolution MH - DNA Mutational Analysis MH - Familial Mediterranean Fever/complications/diagnosis/*genetics/immunology MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/genetics MH - Humans MH - Italy MH - Male MH - *Mutation MH - Pericarditis/etiology/*genetics/immunology MH - Sjogren's Syndrome/diagnosis/genetics/immunology EDAT- 2005/10/13 09:00 MHDA- 2005/12/22 09:00 CRDT- 2005/10/13 09:00 PHST- 2005/10/13 09:00 [pubmed] PHST- 2005/12/22 09:00 [medline] PHST- 2005/10/13 09:00 [entrez] AID - 10.1191/0961203305lu2197oa [doi] PST - ppublish SO - Lupus. 2005;14(9):670-4. doi: 10.1191/0961203305lu2197oa.