Different presentations of mevalonate kinase deficiency: a case series

Clin Exp Rheumatol. 2015 May-Jun;33(3):437-42. Epub 2015 Apr 16.

Abstract

Objectives: We aimed to raise awareness among paediatricians and physicians about this often misunderstood condition.

Methods: We discussed the clinical profiles associated with late or wrong diagnosis of mevalonate kinase deficency (MKD) in a single centre case series.

Results: We analysed the most common challenges and pitfalls that a clinician might face during the diagnostic process. Five main clinical profiles were characterised.

Conclusions: We propose a new perspective on MKD, suggesting that the presentation of this disease can vary from patient to patient.

MeSH terms

  • Age Factors
  • Bacterial Infections / diagnosis
  • Bacterial Infections / etiology
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Infant
  • Inflammatory Bowel Diseases / diagnosis
  • Inflammatory Bowel Diseases / etiology
  • Male
  • Mevalonate Kinase Deficiency / complications
  • Mevalonate Kinase Deficiency / diagnosis*
  • Mevalonate Kinase Deficiency / epidemiology
  • Mevalonate Kinase Deficiency / etiology
  • Mevalonate Kinase Deficiency / genetics
  • Phenotype
  • Predictive Value of Tests
  • Recurrence
  • Risk Factors
  • Sepsis / diagnosis
  • Sepsis / etiology
  • Vasculitis / diagnosis
  • Vasculitis / etiology
  • Young Adult