PMID- 29496273 OWN - NLM STAT- MEDLINE DCOM- 20181024 LR - 20181202 IS - 1768-3122 (Electronic) IS - 0248-8663 (Linking) VI - 39 IP - 4 DP - 2018 Apr TI - [NLRC4 associated autoinflammatory diseases: A systematic review of the current literature]. PG - 279-286 LID - S0248-8663(18)30039-0 [pii] LID - 10.1016/j.revmed.2018.02.003 [doi] AB - The auto-inflammatory diseases linked to NLRC4 mutations are recently described entities. Transmission is autosomal dominant in 80 % of cases; cases of somatic mutation have already been reported. The disease may display two very different clinical phenotypes: the phenotype 1 (30 %), severe, is dominated by a multisystemic inflammation starting in the first year of life with symptoms of chronic inflammatory bowel disease (IBD), macrophagic actication syndrome (MAS), or even a presentation suggesting a cryopyrinopathy in its CINCA form; the mortality of this phenotype is high (25 %). The phenotype 2 (70 %), mild, usually starts after the age of 3 and is characterized by cold urticaria, arthralgia, ocular features and fever in 50 % of cases without visceral failure. Anti-interleukin-1 inhibitors are effective in most cases (83 %). Interleukin-18 (IL-18) levels are very high in both clinical forms. Interleukin-18 inhibitors and anti-interferon-gamma inhibitors were remarkably effective in two very severe phenotype 1 patients. Thus, NLRC4 mutations can induce various clinical manifestations with two distinct phenotypes. Although still rare, because very recently described, this group of diseases could be evoked by an internist in front of cold familial urticarial; probably more and more cases will be diagnosed thanks to the major progresses of genetic diagnostic tools such as next generation sequencing. CI - Copyright (c) 2018 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved. FAU - Rodrigues, F AU - Rodrigues F AD - Service de medecine interne, hopital Tenon, universite Paris 6, Pierre-et-Marie-Curie (UPMC), Assistance publique-hopitaux de Paris (AP-HP), 4, rue de la Chine, 75020 Paris, France; Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France. FAU - Hentgen, V AU - Hentgen V AD - Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France; Service de pediatrie generale, centre hospitalier de Versailles, 179, rue de Versailles, 78150 Le Chesnay, France. FAU - Bachmeyer, C AU - Bachmeyer C AD - Service de medecine interne, hopital Tenon, universite Paris 6, Pierre-et-Marie-Curie (UPMC), Assistance publique-hopitaux de Paris (AP-HP), 4, rue de la Chine, 75020 Paris, France; Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France. FAU - Kone-Paut, I AU - Kone-Paut I AD - Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France; Service de rhumatologie pediatrique, universite de Paris SUD, CHU de Bicetre, Assistance publique-hopitaux de Paris, 94270 Le Kremlin-Bicetre, France. FAU - Belot, A AU - Belot A AD - Inserm U1111, service de nephrologie, rhumatologie, dermatologie pediatriques, hopital Femme-Mere-Enfant, universite Lyon1, 69677 Bron, France; Centre de reference national maladies rares pour les rhumatismes inflammatoires et les maladies auto-immunes systemiques de l'enfant (RAISE), 75015 Paris, France. FAU - Grateau, G AU - Grateau G AD - Service de medecine interne, hopital Tenon, universite Paris 6, Pierre-et-Marie-Curie (UPMC), Assistance publique-hopitaux de Paris (AP-HP), 4, rue de la Chine, 75020 Paris, France; Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France; Inserm UMRS_933, hopital Trousseau, universite Pierre-et-Marie-Curie (UPMC) - Paris 6, Assistance publique-hopitaux de Paris, 26, avenue du Dr Arnold Netter, 75012 Paris, France. FAU - Sarrabay, G AU - Sarrabay G AD - Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France; Laboratoire de genetique, CHU de Montpellier, 191, avenue du Doyen-Gaston-Giraud, 34090 Montpellier, France. FAU - Georgin-Lavialle, S AU - Georgin-Lavialle S AD - Service de medecine interne, hopital Tenon, universite Paris 6, Pierre-et-Marie-Curie (UPMC), Assistance publique-hopitaux de Paris (AP-HP), 4, rue de la Chine, 75020 Paris, France; Centre de reference des maladies auto-inflammatoires et de l'amylose inflammatoire (CEREMAIA), hopital Tenon, 75020 Paris, France; Inserm UMRS_933, hopital Trousseau, universite Pierre-et-Marie-Curie (UPMC) - Paris 6, Assistance publique-hopitaux de Paris, 26, avenue du Dr Arnold Netter, 75012 Paris, France. Electronic address: sophie.georgin-lavialle@aphp.fr. LA - fre PT - Journal Article PT - Review PT - Systematic Review TT - Les maladies auto-inflammatoires associees aux mutations de NLRC4 : revue systematique de la litterature. DEP - 20180226 PL - France TA - Rev Med Interne JT - La Revue de medecine interne JID - 8101383 RN - 0 (CARD Signaling Adaptor Proteins) RN - 0 (Calcium-Binding Proteins) RN - 0 (NLRC4 protein, human) SB - IM MH - CARD Signaling Adaptor Proteins/*genetics MH - Calcium-Binding Proteins/*genetics MH - Female MH - Genetic Predisposition to Disease MH - Hereditary Autoinflammatory Diseases/diagnosis/*genetics MH - Humans MH - Inflammation/immunology MH - Male MH - Mutation MH - Phenotype OTO - NOTNLM OT - Auto-inflammation OT - Autoinflammation OT - Familial cold urticaria OT - Inflammatory bowel disease OT - Macrophagic activation syndrome OT - Maladie inflammatoire chronique de l'intestin OT - NLRC4 OT - Syndrome d'activation macrophagique OT - Urticaire au froid EDAT- 2018/03/03 06:00 MHDA- 2018/10/26 06:00 CRDT- 2018/03/03 06:00 PHST- 2017/12/30 00:00 [received] PHST- 2018/02/01 00:00 [accepted] PHST- 2018/03/03 06:00 [pubmed] PHST- 2018/10/26 06:00 [medline] PHST- 2018/03/03 06:00 [entrez] AID - S0248-8663(18)30039-0 [pii] AID - 10.1016/j.revmed.2018.02.003 [doi] PST - ppublish SO - Rev Med Interne. 2018 Apr;39(4):279-286. doi: 10.1016/j.revmed.2018.02.003. Epub 2018 Feb 26.