PAPA-like syndrome with heterozygous mutation in the MEFV gene

Clin Exp Dermatol. 2022 Mar;47(3):642-645. doi: 10.1111/ced.15027. Epub 2021 Dec 9.

Abstract

A patient presented with a history of recurrent pyoderma gangrenosum, arthritis and extensive acne, prompting a genetic workup for PAPA syndrome. An MEFV mutation was identified and a change in therapeutic strategy from anakinra to colchicine was successful. Click https://www.wileyhealthlearning.com/#/online-courses/b52447c0-1d37-472d-b0c0-7817352d6f68 for the corresponding questions to this CME article.

Publication types

  • Case Reports

MeSH terms

  • Acne Vulgaris / diagnosis*
  • Acne Vulgaris / drug therapy
  • Acne Vulgaris / genetics*
  • Acne Vulgaris / pathology
  • Adult
  • Arthritis, Infectious / diagnosis*
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / genetics*
  • Arthritis, Infectious / pathology
  • Cicatrix / pathology
  • Colchicine / therapeutic use
  • Humans
  • Male
  • Muscular Atrophy / pathology
  • Mutation*
  • Pyoderma Gangrenosum / diagnosis*
  • Pyoderma Gangrenosum / drug therapy
  • Pyoderma Gangrenosum / genetics*
  • Pyoderma Gangrenosum / pathology
  • Pyrin / genetics*
  • Recurrence
  • Syndrome
  • Tubulin Modulators / therapeutic use

Substances

  • MEFV protein, human
  • Pyrin
  • Tubulin Modulators
  • Colchicine

Supplementary concepts

  • Pyogenic arthritis, pyoderma gangrenosum, and acne