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Monogenic autoinflammatory diseases.
[familial mediterranean fever]
During
the
past
15
years
,
a
growing
number
of
monogenic
inflammatory
diseases
have
been
described
and
their
respective
responsible
genes
identified
.
The
proteins
encoded
by
these
genes
are
involved
in
the
regulatory
pathways
of
inflammation
and
are
mostly
expressed
in
cells
of
the
innate
immune
system
.
Diagnosis
remains
clinical
,
with
genetic
confirmation
where
feasible
.
Although
a
group
of
patients
exhibit
episodic
systemic
inflammation
(
periodic
fevers
)
,
these
disorders
are
mediated
by
continuous
overproduction
and
release
of
pro-
inflammatory
mediators
,
such
as
IL
-
1
and
IL
-
6
,
and
TNF
and
are
best
considered
as
autoinflammatory
diseases
rather
than
periodic
fevers
.
Treatment
with
biologic
agents
that
block
these
cytokines
,
particularly
IL
-
1
,
has
proved
to
be
dramatically
effective
in
some
patients
.
Still
,
in
many
cases
of
autoinflammation
no
genetic
abnormalities
are
detected
and
treatment
remains
suboptimal
,
raising
the
question
of
novel
pathogenic
mutations
in
unexplored
genes
and
pathways
.
Diseases
Validation
Diseases presenting
"respective responsible genes"
symptom
familial mediterranean fever
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