Table 2

Summary of clinical and neurological features of selected autoinflammatory syndromes

SyndromeEstimated prevalenceCauseAdult-onset disease reported?Key systemic featuresNeurological features
CommonWell-describedReported
Familial Mediterranean fever1–5 per 10 000 MEFV 10% present after age 20Abdominal pain
Erysipelas-like erythema
Headache
Prolonged febrile myalgia
AA amyloidosis
Aseptic meningitisDemyelination
Ischaemic stroke
PRES
TRAPS1 per million TNFRSF1A 10% present after age 30Periorbital oedemaHeadacheAA amyloidosisDemyelination
Seizures
Vertigo
Myositis
Muckle-Wells syndrome (CAPS)1–3 per million NLRP3 Median age of diagnosis 31.5Symptoms triggered by cold exposureHeadache
SNHL
AA amyloidosisAseptic meningitis
Papilloedema
Seizures
Tolosa–Hunt syndrome
DADA2Unknown ADA2 ReportedLivedo reticularisLacunar strokeIntracerebral haemorrhageNeuropathy
Ataxia
SNHL
Encephalopathy
Adult-onset Still’s disease1–34 per millionUnknownBimodal age of onset
(15-25, 36-46)
Evanescent rash
Macrophage activation syndrome
NilAseptic meningitisCranial neuropathies
Encephalitis
Ischaemic stroke
SNHL
Schnitzler’s syndromeUnknownUnknownMedian age of onset 51IgM gammopathy
Chronic urticaria
NilNilNeuropathy
Encephalopathy
Vertigo
Myoclonic seizures
SAPHO syndrome1 per 10 000 CaucasiansUnknownAverage age of onset 30–50Synovitis
Acne
Pustulosis, Hyperostosis Osteitis
NilHypertrophic pachymeningitis
Headache
Aseptic meningitis
VEXAS syndromeUnknown UBA1 Median age of diagnosis 64Macrocytic anaemiaNilNilOphthalmoplegia
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.