Frontiers in Pediatrics (Jun 2017)

Effects of Anakinra on Health-Related Quality of Life in a Patient with 1129G>A/928G>A Mutations in MVK Gene and Heterozygosity for the Mutation 2107C>A in CIAS1 Gene

  • Gianluigi Laccetta,
  • Maria Tutera,
  • Mario Miccoli,
  • Rita Consolini

DOI
https://doi.org/10.3389/fped.2017.00128
Journal volume & issue
Vol. 5

Abstract

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Mevalonate kinase deficiency impairs several aspects of the patient’s quality of life, thus early diagnosis and treatment are required to improve health-related quality of life (HRQOL). A 15-year-old patient with double heterozygosity for the mutations 1129G>A and 928G>A in MVK gene, heterozygosity for the mutation 2107C>A in CIAS1 gene and hyper-IgD syndrome phenotype, has been treated with anakinra with a reduction of 50% in the number of fever episodes per month, a reduction of 33% in the days of fever for each attack and normal blood tests in the intercritical phase. The RAND 36-Item Health Survey has been used for the assessment of HRQOL before and after the treatment with anakinra. The patient’s quality of life showed an overall improvement of 27%; results showed a better improvement in role limitations due to physical health (50%).

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