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Published in: Pediatric Radiology 4/2012

01-04-2012 | Case Report

Deficiency of interleukin-1-receptor antagonist syndrome: a rare auto-inflammatory condition that mimics multiple classic radiographic findings

Authors: Paul G. Thacker, Larry A. Binkovitz, Kristen B. Thomas

Published in: Pediatric Radiology | Issue 4/2012

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Abstract

Deficiency of interleukin-1-receptor antagonist (DIRA) syndrome is a newly identified inflammatory disease of the skeleton and appendicular soft tissues presenting in early infancy that has yet to be reported in the radiology literature. The radiological manifestations of DIRA syndrome include multifocal osteitis of the ribs and long bones, heterotopic ossification and periarticular soft-tissue swelling. Thus, the pediatric radiologist should be made aware of this novel disease because its radiographic findings can mimic multiple other disease entities. With knowledge of the unique clinical presentation of DIRA syndrome and its multiple radiographic manifestations, the pediatric radiologist may be the first to suggest the correct diagnosis.
Literature
1.
go back to reference Aksentijevich I, Masters SL, Ferguson PJ et al (2009) An autoinflammatory disease with deficiency of the interleukin-1-receptor antagonist. N Engl J Med 360:2426–2437PubMedCrossRef Aksentijevich I, Masters SL, Ferguson PJ et al (2009) An autoinflammatory disease with deficiency of the interleukin-1-receptor antagonist. N Engl J Med 360:2426–2437PubMedCrossRef
2.
go back to reference Reddy S, Jia S, Geoffrey R et al (2009) An autoinflammatory disease due to homozygous deletion of the IL1RN locus. N Engl J Med 360:2438–2444PubMedCrossRef Reddy S, Jia S, Geoffrey R et al (2009) An autoinflammatory disease due to homozygous deletion of the IL1RN locus. N Engl J Med 360:2438–2444PubMedCrossRef
3.
go back to reference Gensure RC, Mäkitie O, Barclay C et al (2005) A novel COL1A1 mutation in infantile cortical hyperostosis (Caffey disease) expands the spectrum of collagen-related disorders. J Clin Invest 115:1250–1257PubMed Gensure RC, Mäkitie O, Barclay C et al (2005) A novel COL1A1 mutation in infantile cortical hyperostosis (Caffey disease) expands the spectrum of collagen-related disorders. J Clin Invest 115:1250–1257PubMed
4.
go back to reference Rasool MN, Govender S (1989) The skeletal manifestations of congenital syphilis. A review of 197 cases. J Bone Joint Surg Br 71:752–755PubMed Rasool MN, Govender S (1989) The skeletal manifestations of congenital syphilis. A review of 197 cases. J Bone Joint Surg Br 71:752–755PubMed
5.
go back to reference Earwaker JW, Cotten A (2003) SAPHO: syndrome or concept? Imaging findings. Skeletal Radiol 32:311–327PubMedCrossRef Earwaker JW, Cotten A (2003) SAPHO: syndrome or concept? Imaging findings. Skeletal Radiol 32:311–327PubMedCrossRef
Metadata
Title
Deficiency of interleukin-1-receptor antagonist syndrome: a rare auto-inflammatory condition that mimics multiple classic radiographic findings
Authors
Paul G. Thacker
Larry A. Binkovitz
Kristen B. Thomas
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 4/2012
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-011-2208-y

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