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Autoinflammatory Manifestations In Adult Patients.
Rodolfi, Stefano; Nasone, Irene; Folci, Marco; Selmi, Carlo; Brunetta, Enrico.
  • Rodolfi S; Rheumatology and Clinical Immunology IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
  • Nasone I; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Emergency Department, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
  • Folci M; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Emergency Department, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
  • Selmi C; Nephrology and Internal Medicine, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
  • Brunetta E; Rheumatology and Clinical Immunology IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Clin Exp Immunol ; 2022 Nov 05.
Article in English | MEDLINE | ID: covidwho-2107374
ABSTRACT
Autoinflammatory diseases represent a family of immune-mediated conditions characterized by the unchecked activation of innate immunity. These conditions share common clinical features such as recurrent fever, inflammatory arthritis and elevation of acute phase reactants, in the absence of an identified infectious etiology, generally without detectable serum autoantibodies, with variable response to glucocorticoids and in some cases colchicine, which represented the mainstay of treatment until cytokine blockade therapies became available. The first autoinflammatory diseases to be described were monogenic disorders caused by missense mutations in inflammasome components and were recognized predominantly during childhood or early adulthood. However, the progress of genetic analyses and a more detailed immunological phenotyping capacity led to the discovery a wide spectrum of diseases, often becoming manifest or being diagnosed in the adult population. The beneficial role of targeting hyperinflammation via interleukin 1 in complex non-immune mediated diseases is a field of growing clinical interest. We provide an overview of the autoinflammatory diseases of interest to physicians treating adult patients and to analyze the contribution of hyperinflammation in non-immune-mediated diseases; the result is intended to provide a roadmap to orient scientists and clinicians in this broad area.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Etiology study / Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Cei

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Etiology study / Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Cei