CAPS*

web CAPS
Epidemiology
  Genre ratio    

Turquoise gender

Gender ratio

1 : 1

Turquoise incidence

Prevalence

1-2/106

Disease presentation

CAPS encompasses the three historically described diseases:

  • FCAS (Familial Cold Autoinflammatory Syndrome): clinically mild end of the spectrum; symptoms are triggered by cold exposure
  • MWS (Muckle-Wells Syndrome): intermediate severity; symptoms appear more frequently and last longer
  • NOMID/CINCA (Neonatal-Onset Multisystem Inflammatory Disease/ Chronic Infantile Neurologic Cutaneous and Articular): most severe end of the spectrum; systemic and organ inflammation is constant and complications (e.g. amyloidosis) are not uncommon

Genetic grounds

The disease exhibits an autosomal dominant inheritance (i.e., receiving the gene from only one parent is enough to develop the disease). The involved mutated gene is NLRP3/CIAS1 coding for an inflammation protein called the cryopyrin.


Main clinical symptoms

picto feverRecurrent fever

picto skin rashUrticary-like cutaneaous lesions

picto Joint painJoint pain

Biological signs

-

Therapy

  • Non-steroidal anti-inflammatory drugs (FCAS/MWS)
  • Corticosteroids (FCAS/MWS)
  • Anti-IL-1 (e.g. Anakinra, Canakinumab) (NOMID/CINCA)

*Cryopyrin-Associated Autoinflammatory Syndrome