Syndrome | Estimated prevalence | Cause | Adult-onset disease reported? | Key systemic features | Neurological features | ||
Common | Well-described | Reported | |||||
Familial Mediterranean fever | 1–5 per 10 000 | MEFV | 10% present after age 20 | Abdominal pain Erysipelas-like erythema | Headache Prolonged febrile myalgia AA amyloidosis | Aseptic meningitis | Demyelination Ischaemic stroke PRES |
TRAPS | 1 per million | TNFRSF1A | 10% present after age 30 | Periorbital oedema | Headache | AA amyloidosis | Demyelination Seizures Vertigo Myositis |
Muckle-Wells syndrome (CAPS) | 1–3 per million | NLRP3 | Median age of diagnosis 31.5 | Symptoms triggered by cold exposure | Headache SNHL | AA amyloidosis | Aseptic meningitis Papilloedema Seizures Tolosa–Hunt syndrome |
DADA2 | Unknown | ADA2 | Reported | Livedo reticularis | Lacunar stroke | Intracerebral haemorrhage | Neuropathy Ataxia SNHL Encephalopathy |
Adult-onset Still’s disease | 1–34 per million | Unknown | Bimodal age of onset (15-25, 36-46) | Evanescent rash Macrophage activation syndrome | Nil | Aseptic meningitis | Cranial neuropathies Encephalitis Ischaemic stroke SNHL |
Schnitzler’s syndrome | Unknown | Unknown | Median age of onset 51 | IgM gammopathy Chronic urticaria | Nil | Nil | Neuropathy Encephalopathy Vertigo Myoclonic seizures |
SAPHO syndrome | 1 per 10 000 Caucasians | Unknown | Average age of onset 30–50 | Synovitis Acne Pustulosis, Hyperostosis Osteitis | Nil | Hypertrophic pachymeningitis Headache | Aseptic meningitis |
VEXAS syndrome | Unknown | UBA1 | Median age of diagnosis 64 | Macrocytic anaemia | Nil | Nil | Ophthalmoplegia SNHL Bilateral vestibulopathy |
CAPS, cryopyrin-associated periodic syndrome; DADA2, deficiency of ADA2; PRES, posterior reversible encephalopathy syndrome; SAPHO, synovitis, acne, pustulosis, hyperostosis, osteitis; SNHL, sensorineural hearing loss; TRAPS, TNF receptor-associated periodic syndrome; VEXAS, vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic.