Identification of a variant in NLRP3 gene in a patient with Muckle-Wells syndrome: a case report and review of literature

Abstract Background Cryopyrin-associated periodic syndrome (CAPS), a rare genetic autoimmune disease, is composed of familial cold autoinflammatory syndrome (FCAs), Muckle-Wells syndrome (MWS), and neonatal onset multisystem inflammatory disease (NOMID). MWS is caused by dominantly inherited or de n...

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Main Authors: Jia Liu (Author), Ranran Zhang (Author), Zhi Yi (Author), Yi Lin (Author), Hong Chang (Author), Qiuye Zhang (Author)
Format: Book
Published: BMC, 2023-02-01T00:00:00Z.
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Summary:Abstract Background Cryopyrin-associated periodic syndrome (CAPS), a rare genetic autoimmune disease, is composed of familial cold autoinflammatory syndrome (FCAs), Muckle-Wells syndrome (MWS), and neonatal onset multisystem inflammatory disease (NOMID). MWS is caused by dominantly inherited or de novo gain-of-function mutations in the NOD-like receptor 3 (NLRP3) gene. At present, there is no report about the variation of R262W in China. Case presentation We reported a 3-year-old Chinese boy who had recurrent fever without obvious inducement, bilateral conjunctival congestion, and urticarial-like rash. Laboratory examination showed elevation in leukocyte count, neutrophil count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) and serum amyloid protein (SAA) levels. Whole exome sequencing identified a missense variation c.784-786delinsTGG (p.R262W) in the coding region of the NLRP3 gene. Conclusion A classical variant of the NLRP3 gene in a patient with MWS was first reported in China.
Item Description:10.1186/s12969-023-00795-x
1546-0096