How to handle the main drugs to treat autoinflammatory disorders and how we treat common autoinflammatory diseases

G Ital Dermatol Venereol. 2020 Oct;155(5):574-589. doi: 10.23736/S0392-0488.20.06708-5. Epub 2020 Jul 2.

Abstract

This article provides an overview of the main drugs to treat autoinflammatory disorders focusing on the four emblematic diseases within this group which represent, to date, the vast majority of patients with monogenic SAID; i.e. familial Mediterranean fever, mevalonate kinase deficiency, TNF receptor 1 deficiency and cryopyrin-associated periodic syndrome. We will therefore resume the evolutionary risks of the four main IL-1 dependent SAID, there treatments and monitoring tools. After having exposed the general principles, we will detail specific guidelines for the management in everyday clinical practice of patients according to the four main pathologies based on both our expertise and international recommendations. We aim herein to guide practitioners in charge of patients with common SAID towards optimal follow-up with appropriate monitoring of anti-inflammatory drugs.

Publication types

  • Review

MeSH terms

  • Cryopyrin-Associated Periodic Syndromes / drug therapy*
  • Deficiency Diseases / drug therapy
  • Familial Mediterranean Fever / drug therapy*
  • Humans
  • Mevalonate Kinase Deficiency / drug therapy*
  • TNF Receptor-Associated Factor 1 / deficiency*

Substances

  • TNF Receptor-Associated Factor 1