Familial Periodic Fever
Definition
The MEFV gene encodes the pyrin protein; pyrin normally suppresses inflammasome activation and IL-1β release. Pathogenic variants in MEFV lead to uncontrolled IL-1β activation, causing recurrent attacks of fever and inflammation of the serous membranes; attacks usually begin before age 20, last 12-72 hours, and present with abdominal pain, chest pain, arthritis and skin rash.
Gene/region examined
TNFRSF1A - Exon 1, TNFRSF1A - Exon 2, TNFRSF1A - Exon 3, TNFRSF1A - Exon 4, TNFRSF1A - Exon 5, TNFRSF1A - Exon 6, TNFRSF1A - Exon 7, TNFRSF1A - Exon 8, TNFRSF1A - Exon 9, TNFRSF1A - Exon 10
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal recessive (AR); a semi-dominant effect has been reported for some variants.