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遗传性发热综合征的分子诊断。家族性地中海热(FMF)、高免疫球蛋白D综合征(HIDS)、肿瘤坏死因子受体相关周期性综合征(TRAPS)、冷吡啉相关周期性综合征(CAPS:FCAS、MWS、NOMID/CINCA)

[Molecular diagnostics of hereditary fever syndromes. Familial Mediterranean fever (FMF), hyperimmunoglobulin D syndrome (HIDS), tumor necrosis factor receptor-associated periodic syndrome (TRAPS), cryopyrin-associated periodic syndrome (CAPS: FCAS, MWS, NOMID/CINCA)].

作者信息

Timmann C, Horstmann R

机构信息

Abteilung für Tropenmedizinische Grundlagenforschung, Bernhard-Nocht-Institut für Tropenmedizin, 20359 Hamburg.

出版信息

Z Rheumatol. 2009 Nov;68(9):720-5. doi: 10.1007/s00393-009-0486-7.

Abstract

Periodic episodes of fever and inflammation can have a genetic origin. Nowadays, the identification of the causative genetic variants in the majority of cases allows molecular genetic confirmation of the clinical diagnosis, which enables approaches with specific drug treatment and improves patient compliance as well as genetic counseling. Besides a detailed clinical examination a medical history including family history and an assessment of the ethnic origin are required. In order to make genetic testing straightforward and cost effective an iterative procedure should be followed which should include, in addition to clinical data, the frequencies of causative mutations in the various gene segments involved.

摘要

周期性发热和炎症发作可能有遗传根源。如今,在大多数病例中确定致病基因变异可实现临床诊断的分子遗传学确认,这使得采用特定药物治疗成为可能,并提高了患者的依从性以及遗传咨询水平。除了详细的临床检查外,还需要一份包括家族史的病史以及对种族起源的评估。为了使基因检测直接且具有成本效益,应遵循一个迭代程序,除临床数据外,该程序还应包括所涉及的各个基因片段中致病突变的频率。

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