Challenges and new horizons in the periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA) syndrome

被引:17
作者
Gentileschi, Stefano [1 ,2 ]
Vitale, Antonio [1 ,2 ]
Frediani, Bruno [1 ,2 ]
Galeazzi, Mauro [1 ,2 ]
Rigante, Donato [3 ]
Cantarini, Luca [1 ,2 ]
机构
[1] Univ Siena, Res Ctr Syst Autoinflammatory Dis, Siena, Italy
[2] Univ Siena, Behcets Dis Clin, Dept Med Sci Surg & Neurosci, Siena, Italy
[3] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli, Inst Pediat, Rome, Italy
关键词
Periodic fever syndromes; PFAPA; autoinflammatory disorder; interleukin-1; C-REACTIVE PROTEIN; CLINICAL CHARACTERISTICS; GENETIC-CHARACTERIZATION; CHILDREN; ADULT; COLCHICINE; PROCALCITONIN; TONSILLECTOMY; INFLAMMATION; ACTIVATION;
D O I
10.1080/21678707.2017.1279049
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: Periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA) syndrome is a multifactorial autoinflammatory disorder representing a true challenge for differential diagnosis of fevers of unknown origin among children. Areas covered: Although current diagnostic criteria confine PFAPA syndrome into the pediatric world, recent evidences have suggested the possible onset of this disease during adulthood as well as the possible relapse over time after spontaneous or treatment-induced resolution in childhood. The number of treatment choices currently available is growing significantly. In this regard, inhibition of interleukin (IL)-1 represents an intriguing promise for PFAPA patients who do not respond to standard therapy or for whom corticosteroid administration is unsuitable. Expert opinion: The challenges associated with the discovery of pathogenetic pathways and treatment alternatives in PFAPA syndrome are immense, reflected by the small number of studies currently in progress. As new mechanisms underlying the regulation of innate immunity are discovered and novel therapeutic approaches are adopted, the next decade promises many exciting advances to manage and treat patients with PFAPA syndrome.
引用
收藏
页码:165 / 171
页数:7
相关论文
共 54 条
[1]   Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome [J].
Ali, Nora S. ;
Sartori-Valinotti, Julio C. ;
Bruce, Alison J. .
CLINICS IN DERMATOLOGY, 2016, 34 (04) :482-486
[2]   Colchicine as a therapeutic option in periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis (PFAPA) syndrome [J].
Aviel, Yonatan Butbul ;
Tatour, Sameh ;
Baruch, Ruth Gershoni ;
Brik, Riva .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2016, 45 (04) :471-474
[3]  
Buongiorno A, 2015, MINERVA PEDIATR, V67, P219
[4]  
Cantarini L, 2012, CLIN EXP RHEUMATOL, V30, P593
[5]  
Cantarini L, 2012, CLIN EXP RHEUMATOL, V30, P269
[6]   Basic Characteristics of Adults with Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Adenopathy Syndrome in Comparison with the Typical Pediatric Expression of Disease [J].
Cattalini, Marco ;
Soliani, Martina ;
Rigante, Donato ;
Lopalco, Giuseppe ;
Iannone, Florenzo ;
Galeazzi, Mauro ;
Cantarini, Luca .
MEDIATORS OF INFLAMMATION, 2015, 2015
[7]   A case of adult periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome associated with endocapillary proliferative glomerulonephritis [J].
Cazzato, Massimiliano ;
Neri, Rossella ;
Possemato, Niccolo ;
Puccini, Rodolfo ;
Bombardieri, Stefano .
CLINICAL RHEUMATOLOGY, 2013, 32 :S33-S36
[8]   PFAPA Syndrome in a Young Adult with a History of Tonsillectomy [J].
Colotto, Marco ;
Maranghi, Marianna ;
Durante, Cosimo ;
Rossetti, Marco ;
Renzi, Alessandra ;
Anatra, Maria Grazia .
INTERNAL MEDICINE, 2011, 50 (03) :223-225
[9]   MEFV, TNF1rA, CARD15 and NLRP3 mutation analysis in PFAPA [J].
Dagan, Efrat ;
Gershoni-Baruch, Ruth ;
Khatib, Ihab ;
Mori, Adi ;
Brik, Riva .
RHEUMATOLOGY INTERNATIONAL, 2010, 30 (05) :633-636
[10]   Analysis of the genetic basis of periodic fever with aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome [J].
Di Gioia, Silvio Alessandro ;
Bedoni, Nicola ;
von Scheven-Gete, Annette ;
Vanoni, Federica ;
Superti-Furga, Andrea ;
Hofer, Michael ;
Rivolta, Carlo .
SCIENTIFIC REPORTS, 2015, 5