Review Article

From the Mediterranean to the Sea of Japan: The Transcontinental Odyssey of Autoinflammatory Diseases

Table 5

Dermal pathology of skin autoinflammatory disorders.

PAPA syndromeDeficiency of interleukin-1 receptor antagonist Blau syndromeCANDLE syndrome (Nakajo-Nishimura syndrome)

GenePSTPIP1 (15q24-q25.1)IL1RN (2q)CARD15/NOD2 (16q2)PSMB8 (6p21.3)
InheritanceAutosomal dominantAutosomal recessiveAutosomal dominantAutosomal recessive
Protein encodedCD2 antigen-binding protein 1Interleukin-1 receptor antagonistNOD2 5i subunit of the immunoproteasome
OMIM604416612852186580256040
OnsetInfancyNeonatal periodBefore 3-4 yearsInfancy
FeverAbsentInconstantRecurrent
Rash featuresPyoderma gangrenosum, cystic acnePustular with ichthyosis-like changesBrown-coloured and flaky, multiple subcutaneous granulomatous nodulesCold-induced pernio-like or purpuric/vasculitic lesions, progressive lipodystrophic changes in the upper body
Articular signsSterile pyogenic oligoarthritis Sterile multifocal osteomyelitisRecurrent granulomatous symmetric polyarthritis with progressive trend, tenosynovial cysts, and “boutonnière” finger deformities Joint contractures, clubbed fingers and toes
Ocular signsRecurrent granulomatous panuveitis, chorioretinitis
Neurologic signsBasal ganglia calcification
TreatmentCorticosteroids, tumor necrosis factor-inhibitors, and interleukin-1 antagonistsInterleukin-1 antagonistsCorticosteroids, immunosuppressive agents, tumor necrosis factor-inhibitors, and interleukin-1 antagonistsCorticosteroids, dapson, interferon-gamma modulators, and interleukin-6 antagonists