Schnellbacher Charlotte, Ciocca Giovanna, Menendez Roxanna, Aksentijevich Ivona, Goldbach-Mansky Raphaela, Duarte Ana M, Rivas-Chacon Rafael
Division of Pediatrics, Miami Children's Hospital, Miami, FloridaDivision of Dermatology, Miami Children's Hospital, Miami, FloridaDivision of Dermatology, Columbia Hospital/Nova Southeastern University, West Palm Beach, FloridaNational Institute of Arthritis, Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MarylandDivision of Rheumatology, Miami Children's Hospital, Miami, Florida.
Pediatr Dermatol. 2013 Nov-Dec;30(6):758-60. doi: 10.1111/j.1525-1470.2012.01725.x. Epub 2012 Apr 4.
We describe a 3-month-old infant who presented to our institution with interleukin (IL)-1 receptor antagonist deficiency (DIRA), which consists of neutrophilic pustular dermatosis, periostitis, aseptic multifocal osteomyelitis, and persistently high acute-phase reactants. Skin findings promptly improved upon initiation of treatment with anakinra (recombinant human IL-1 receptor antagonist), and the bony lesions and systemic inflammation resolved with continued therapy.
我们描述了一名3个月大的婴儿,他因白细胞介素(IL)-1受体拮抗剂缺乏症(DIRA)前来我院就诊,该病症包括嗜中性脓疱性皮肤病、骨膜炎、无菌性多灶性骨髓炎以及持续升高的急性期反应物。使用阿那白滞素(重组人IL-1受体拮抗剂)治疗后,皮肤症状迅速改善,继续治疗后骨病变和全身炎症得以消退。