Table 3.
Comparison of characteristics of RIPK1-associated diseases and similar autoinflammatory diseases. # 1/4 weeks denotes 1 episode every 4 weeks. Abbreviations: RIPK1, receptor-interacting serine/threonine kinase-1; CRIA, cleavage-resistant RIPK1-induced autoinflammatory syndrome; HIDS, hyper-IgD with periodic fever syndrome; PFAPA, periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome; CNS, central nervous system; MAS, macrophage activation syndrome; APR, acute phase reactants; n.r., not reported
RIPK1 deficiency [7–10] (n: 14) |
CRIA [11, 12] (n: 12) |
HIDS [19] (n: 114) |
PFAPA [20] (n: 301) |
Caspase 8 deficiency [21–23] (n: 5) |
|
---|---|---|---|---|---|
Inheritance | Recessive | Dominant | Recessive | Unknown | Recessive |
Gene | RIPK1 | RIPK1 | MVK | None | CASP8 |
Disease onset < 5 years (%) | 100% | 100% | 100% | 90% | 20% |
Disease pattern | Continuous | Periodic | Recurrent (87%) | Periodic | Continuous |
Fever (duration) | n.r. | 3–5 days | 4 days | 4 days | Reported in 1 patient |
Fever (recurrence)# | n.r. | 1/1–4 weeks | 1/4 weeks | 1/4 weeks | Reported in 1 patient |
Episodes triggering factors | n.r. | n.r. | 45% | n.r. | n.r. |
Recurrent infections | 100% (Severe) | n.r. | n.r. | n.r. | 100% (Severe) |
IBD/abdominal pain/diarrhea | 100% / n.r. / n.r. | 0% / 41.7% / n.r. | Occasional / 88% / 84% | n.r. / 45% / 16% | n.r. / 40% / 40% |
Oral ulcers | 46% | 71.4% | 60% | 57% | n.r. |
Pharyngitis | n.r. | 42.9% | 28% | 90% | n.r. |
Arthralgias | n.r. | 37.5% | 71% | 30% | n.r. |
Arthritis | 38% | n.r. | 28% | 3% | n.r. |
Skin rash | 21% | n.r. | 54% | 13% | 40% |
CNS manifestations | 7% | Headache | Headache (38%) | 4% | 20% |
Conjunctivitis | n.r. | n.r. | 10% | 5% | n.r. |
Uveitis | n.r. | n.r. | 2% | n.r. | n.r. |
Lymphadenopathies | n.r. | 91.7% | 89% | 78% | 60% |
Splenomegaly | 31% | 58.3% | n.r. | n.r. | 80% |
Asthma | n.r. | n.r. | n.r. | n.r. | 40% |
Chronic lung disease | 7.1% | n.r. | n.r. | n.r. | 60% |
AA amyloidosis | n.r. | n.r. | 4% | n.r. | n.r. |
MAS | n.r. | n.r. | 0.9% | n.r. | n.r. |
Outcome | High mortality (46%) | Overall good (100%) |
Occasional life-threatening complications |
Overall good (100%) | High mortality (40%) |