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施尼茨勒综合征:来自281例病例的经验教训。

Schnitzler's syndrome: lessons from 281 cases.

作者信息

de Koning Heleen D

机构信息

Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands ; Radboud Institute for Molecular Life Sciences (RIMLS), Nijmegen, The Netherlands ; Nijmegen Center for Immunodeficiency and Autoinflammation, Nijmegen, The Netherlands.

出版信息

Clin Transl Allergy. 2014 Dec 5;4:41. doi: 10.1186/2045-7022-4-41. eCollection 2014.

DOI:10.1186/2045-7022-4-41
PMID:25905009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4405827/
Abstract

Schnitzler's syndrome is an autoinflammatory disorder characterized by the association of a monoclonal IgM (or IgG) gammopathy, a chronic urticarial rash, and signs and symptoms of systemic inflammation, including fever, arthralgias and bone pain. It was first described in 1972. This review summarizes the clinical features, efficacy of therapies, and follow-up data of the 281 cases that have been reported to date. Also, the results of skin histology, bone imaging, laboratory investigations, and studies of the pathogenesis will be discussed, including the pivotal role of interleukin-1 beta in this disorder.

摘要

施尼茨勒综合征是一种自身炎症性疾病,其特征为单克隆IgM(或IgG)丙种球蛋白病、慢性荨麻疹样皮疹以及全身炎症的体征和症状,包括发热、关节痛和骨痛。该病于1972年首次被描述。本综述总结了迄今为止已报道的281例病例的临床特征、治疗效果及随访数据。此外,还将讨论皮肤组织学、骨成像、实验室检查结果以及发病机制的研究,包括白细胞介素-1β在该疾病中的关键作用。

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Case report: Therapeutic use of bortezomib in a patient with Schnitzler syndrome.病例报告:硼替佐米对施尼茨勒综合征患者的治疗应用
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本文引用的文献

1
Myeloid lineage-restricted somatic mosaicism of NLRP3 mutations in patients with variant Schnitzler syndrome.变异型施尼茨勒综合征患者中NLRP3突变的髓系谱系限制性体细胞嵌合现象。
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Schnitzler's syndrome: a diagnostic conundrum.施尼茨勒综合征:一个诊断难题。
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Schnitzler's syndrome; a case highlighting the complications of long-standing acquired autoinflammation.
一种独特且神秘的自身炎症性疾病——施尼茨勒综合征的背景与临床特征
Int J Mol Sci. 2025 Jan 12;26(2):598. doi: 10.3390/ijms26020598.
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Recurrent urticaria with fever, arthralgia, and biclonal gammopathy.伴有发热、关节痛和双克隆丙种球蛋白病的复发性荨麻疹。
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Schnitzler-Like Syndrome Presenting With IgG Kappa Monoclonal Gammopathy: A Case Report and Review of Diagnostic and Therapeutic Challenges.伴有IgG κ单克隆丙种球蛋白病的施尼茨勒样综合征:一例报告及诊断与治疗挑战的综述
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Schnitzler Syndrome: Insights into Its Pathogenesis, Clinical Manifestations, and Current Management.施尼茨勒综合征:发病机制、临床表现及当前治疗方法的研究进展。
Biomolecules. 2024 May 31;14(6):646. doi: 10.3390/biom14060646.
7
Schnitzler's Syndrome-Diagnostic Experience, Approaches to Therapy, and Patient Management according to a Multicenter Russian Cohort.施尼茨勒综合征的多中心俄罗斯队列的诊断经验、治疗方法和患者管理
Dokl Biochem Biophys. 2024 Aug;517(1):214-227. doi: 10.1134/S1607672924700923. Epub 2024 Jun 10.
8
[The most frequent febrile syndromes and autoinflammatory diseases in adulthood].[成人期最常见的发热综合征和自身炎症性疾病]
Z Rheumatol. 2024 Jun;83(5):363-375. doi: 10.1007/s00393-024-01522-x. Epub 2024 May 27.
9
A case of Schnitzler-like syndrome with basement membrane IgM deposition but without monoclonal gammopathy.一例具有基底膜IgM沉积但无单克隆丙种球蛋白病的施尼茨勒样综合征病例。
JAAD Case Rep. 2024 Mar 6;47:10-13. doi: 10.1016/j.jdcr.2024.02.024. eCollection 2024 May.
10
Proposal of a new clinical entity: Paraprotein negative IL-1 mediated inflammatory dermatosis (PANID) that may precede Schnitzler syndrome.一种新的临床实体的提议:副蛋白阴性IL-1介导的炎症性皮肤病(PANID),可能先于施尼茨勒综合征出现。
World Allergy Organ J. 2023 Sep 30;16(9):100815. doi: 10.1016/j.waojou.2023.100815. eCollection 2023 Sep.
Eur J Dermatol. 2014 May-Jun;24(3):405-6. doi: 10.1684/ejd.2014.2345.
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Consensus guidelines for the diagnosis and clinical management of Erdheim-Chester disease.厄德里希-切斯特病诊断与临床管理的共识指南。
Blood. 2014 Jul 24;124(4):483-92. doi: 10.1182/blood-2014-03-561381. Epub 2014 May 21.
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Preclinical validation of interleukin 6 as a therapeutic target in multiple myeloma.白细胞介素6作为多发性骨髓瘤治疗靶点的临床前验证
Immunol Res. 2014 Aug;59(1-3):188-202. doi: 10.1007/s12026-014-8528-x.
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[Anakinra treatment in Schnitzler syndrome -  results of the first retrospective multicenter study in six patients from the Czech Republic].[阿那白滞素治疗施尼茨勒综合征——捷克共和国首例六例患者回顾性多中心研究结果]
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Skeletal Radiol. 2014 Jul;43(7):905-15. doi: 10.1007/s00256-014-1857-y. Epub 2014 Mar 21.
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Medicine (Baltimore). 2014 Mar;93(2):91-99. doi: 10.1097/MD.0000000000000021.
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Successful treatment of Schnitzler syndrome with cyclosporine.
Int J Dermatol. 2014 Jul;53(7):e361-3. doi: 10.1111/ijd.12300. Epub 2014 Mar 6.
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Somatic mutations in MYD88 and CXCR4 are determinants of clinical presentation and overall survival in Waldenstrom macroglobulinemia.MYD88 和 CXCR4 中的体细胞突变是华氏巨球蛋白血症临床表现和总生存的决定因素。
Blood. 2014 May 1;123(18):2791-6. doi: 10.1182/blood-2014-01-550905. Epub 2014 Feb 19.