From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes

Xue Wang, Nan Zhou, Yuxiang Zhi Department of Allergy & Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, National Clinical Research Center for Immunologic Diseases, Beijing, 100730, People’s Republic of ChinaCorre...

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Main Authors: Wang X, Zhou N, Zhi Y
Format: Article
Language:English
Published: Dove Medical Press 2025-04-01
Series:Journal of Asthma and Allergy
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Online Access:https://www.dovepress.com/from-urticaria-to-correct-diagnosis-a-case-report-of-cryopyrin-associa-peer-reviewed-fulltext-article-JAA
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author Wang X
Zhou N
Zhi Y
author_facet Wang X
Zhou N
Zhi Y
author_sort Wang X
collection DOAJ
description Xue Wang, Nan Zhou, Yuxiang Zhi Department of Allergy & Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, National Clinical Research Center for Immunologic Diseases, Beijing, 100730, People’s Republic of ChinaCorrespondence: Yuxiang Zhi, Email yuxiang_zhi@126.comAbstract: Cryopyrin-associated periodic syndrome (CAPS) is a rare autoinflammatory disorder often misdiagnosed as urticaria or urticarial vasculitis, thereby delaying treatment for patients. This report presents a large CAPS pedigree. The proband was a 57-year-old man with recurrent urticaria-like rash, fever, and arthralgia for more than 50 years and hearing loss for 28 years. Sixteen of his relatives had similar symptoms. One-generation sequencing revealed a c.778C>T; p.(Arg260Trp) variant in the NLRP3 gene, confirming the diagnosis of CAPS. The aim of this case report is to raise awareness of CAPS and its various clinical manifestations, highlighting that urticaria may be a presentation of autoinflammatory diseases, thereby improving diagnostic accuracy.Keywords: cryopyrin-associated periodic syndromes, case report, urticaria, large family
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spelling doaj-art-00c27cd2d2bb4e51ba8968282b2b98d62025-08-20T02:08:56ZengDove Medical PressJournal of Asthma and Allergy1178-69652025-04-01Volume 18539544101913From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic SyndromesWang XZhou NZhi YXue Wang, Nan Zhou, Yuxiang Zhi Department of Allergy & Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, National Clinical Research Center for Immunologic Diseases, Beijing, 100730, People’s Republic of ChinaCorrespondence: Yuxiang Zhi, Email yuxiang_zhi@126.comAbstract: Cryopyrin-associated periodic syndrome (CAPS) is a rare autoinflammatory disorder often misdiagnosed as urticaria or urticarial vasculitis, thereby delaying treatment for patients. This report presents a large CAPS pedigree. The proband was a 57-year-old man with recurrent urticaria-like rash, fever, and arthralgia for more than 50 years and hearing loss for 28 years. Sixteen of his relatives had similar symptoms. One-generation sequencing revealed a c.778C>T; p.(Arg260Trp) variant in the NLRP3 gene, confirming the diagnosis of CAPS. The aim of this case report is to raise awareness of CAPS and its various clinical manifestations, highlighting that urticaria may be a presentation of autoinflammatory diseases, thereby improving diagnostic accuracy.Keywords: cryopyrin-associated periodic syndromes, case report, urticaria, large familyhttps://www.dovepress.com/from-urticaria-to-correct-diagnosis-a-case-report-of-cryopyrin-associa-peer-reviewed-fulltext-article-JAAcryopyrin-associated periodic syndromescase reporturticarialarge family
spellingShingle Wang X
Zhou N
Zhi Y
From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes
Journal of Asthma and Allergy
cryopyrin-associated periodic syndromes
case report
urticaria
large family
title From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes
title_full From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes
title_fullStr From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes
title_full_unstemmed From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes
title_short From Urticaria to Correct Diagnosis: A Case Report of Cryopyrin-Associated Periodic Syndromes
title_sort from urticaria to correct diagnosis a case report of cryopyrin associated periodic syndromes
topic cryopyrin-associated periodic syndromes
case report
urticaria
large family
url https://www.dovepress.com/from-urticaria-to-correct-diagnosis-a-case-report-of-cryopyrin-associa-peer-reviewed-fulltext-article-JAA
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