Deficiency of Interleukin-1 Receptor Antagonist (DIRA): Report of the First Indian Patient and a Novel Deletion Affecting IL1RN

Autor: Leonardo Oliveira Mendonça, AA de Jesus, Deepti Suri, Louise Malle, Settara C. Chandrasekharappa, R. Goldbach-Mansky, FX Donavan, G Montealegre, D. Chapelle
Rok vydání: 2015
Předmět:
Zdroj: Pediatric Rheumatology Online Journal
ISSN: 1546-0096
DOI: 10.1186/1546-0096-13-s1-p143
Popis: Purpose Deficiency of interleukin-1 receptor antagonist (DIRA) is a rare life-threatening autoinflammatory disease caused by autosomal recessive mutations in IL1RN. DIRA presents clinically with early onset generalized pustulosis, multifocal osteomyelitis, and elevation of acute phase reactants. We evaluated and treated an antibiotic-unresponsive patient with presumed DIRA with recombinant IL-1Ra (anakinra). The patient developed anaphylaxis to anakinra and was subsequently desensitized.
Databáze: OpenAIRE