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[自身炎症性发热疾病诊断中确诊的是什么?]

[What is confirmed in the diagnostics of autoinflammatory fever diseases?].

作者信息

Gilbert Stephen, Gabriel Heinz, Pankow Anne, Biskup Saskia, Wagner Annette Doris

机构信息

Ada Health GmbH, Karl-Liebknecht-Str. 1, 10178, Berlin, Deutschland.

Else Kröner-Fresenius Center for Digital Health, Faculty of Medicine Carl Gustav Carus, Louisenstr. 120, 61348, Bad Homburg, Deutschland.

出版信息

Internist (Berl). 2021 Dec;62(12):1290-1294. doi: 10.1007/s00108-021-01221-8. Epub 2021 Dec 8.

Abstract

Periodic fever syndromes (PFS) are a group of rare autoinflammatory diseases, which are characterized by disorders of the innate immune reaction and life-long recurrent episodes of inflammatory symptoms. This article describes the diagnostic approach. In addition to the patient medical history, physical examination and laboratory determinations, gene tests are becoming increasingly more important. The panel diagnostics using high throughput sequencing or next generation sequencing (NGS) is the method of choice for the detection of a genetic cause of PFS. This article discusses the diagnostic decision support systems (DDSS) that can play a future role in the diagnosis of rare diseases, especially those with complex patterns of symptoms.

摘要

周期性发热综合征(PFS)是一组罕见的自身炎症性疾病,其特征是先天性免疫反应紊乱以及炎症症状的终身反复发 作。本文描述了诊断方法。除了患者病史、体格检查和实验室检测外,基因检测正变得越来越重要。使用高通量测序 或下一代测序(NGS)的综合诊断是检测PFS遗传病因的首选方法。本文讨论了诊断决策支持系统(DDSS),其在罕 见病尤其是症状模式复杂的疾病的诊断中可能发挥未来作用。

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