Review Article

Untangling the Web of Systemic Autoinflammatory Diseases

Table 2

Main clues useful for differential diagnosis of hereditary periodic fever syndromes.

Familial Mediterranean feverMevalonate kinase deficiency syndromeTumor necrosis factor receptor-associated periodic syndromeCryopyrin-associated periodic syndrome

OnsetChildhood or adolescence Infancy (first year of life)3–20 years Neonatal period-childhood
Usual ethnicity Armenian, nonsephardic Jews, Arab, Turkish peopleDutch and other Northern European populationsFirstly recognized in Northern European (Ireland and Scotland) people; any ethnicityPanethnic
Fever duration1–4 days3–7 days1 or even 3-4 weeks, usually responding to corticosteroidsSubcontinuous/variable with circadian periodism and intermittent flares
Abdominal distressVery common (in the form of sterile peritonitis)Very common (abdominal pain, vomiting, diarrhea)Common (abdominal pain, diarrhea, constipation)Uncommon
Chest involvementPleurisy, often unilateralInfrequent Pleuritis Absent
Skin involvementErysipelas-like rash on feet/anklesPolymorphic rash, erythema elevatum diutinum, disseminated superficial actinic porokeratosisPainful migratory eruption, edematous plaquesNeutrophilic urticaria-like skin eruption of variable severity and extension (either induced by cold exposure or constant)
Osteoarticular involvementArthralgias or arthritides ArthralgiasMigratory arthralgias, nonerosive arthritidesArthralgias of variable severity, deforming osteoarthritis involving large joints and contiguous bones (in CINCA syndrome)