Gene Defect

0 Recommendations

I was born with a Gene mutation which causes fever, arthralgia,conjuntivitis, urticaria, depression, and on and on... This was passed through the paternal side of my family and I have two sisters who suffer the same as I. We in turn have chidren and grandchildren with it. It was only recently diagnosed and there are studies and some others with this are able to take a new FDA approved drug to help with symptoms. It is closely linked to those with TRAPS but not quite. The disease is called FCAS or Familial Cold autoinflammatory sydrome. There are two ather diseases associated with this and a person can have overlap of them namely Muckle Wells Syndrome and NOMIDS. Researchers are just scratching the surface with these diseases and there symptoms so i really don't think they know how these disease affect the body totally. Some people suffer to different degrees and some don't fit the mold and can go undiagnosed. I personally have other symptoms other than the generic mold . I also have other medical issues which may be aggravating the FCAS/MWS that i have. I can not take the drugs on the maket for it as i have liver issues as well. Some with FCAS/ MWS develop amyloidosis AA, hearing and vision problems as well.
The flare is initially brought on by temperature change and or a number of other factors such as dampness, wind, air pressure. It begins with a rash that can be itchy but mostly painful and burning which covers three fourths of the body. Painful joints and muscles follow with swelling at the joints. It usually culminates in chills and fever and the felling of dizziness and nausea and headaches. The flares last about 24 hours . The intensity of the flare is directly related to the amount of challenges you have recieved for the day and the duration of the challenge. In my case, I have a flare on a daily basis to differing degrees but always at the very least, the rash and temperature fluxuation and arthritic type pain. This disease is systemic and a flare tells the proteins to produce white blood cells. Labs will come back abnormal during a flare white high WBC and low RBC as well as high Sed Rates at times. We ( my sisters and I ) have been misdiagnosed so many times in the past or not believed because Doctors test for auto-immune and those tests come back negative. We have auto- inflamatory and test only come back odd while in a mild to severe flare. This usually happens at the end of the day after Labs and Doctors officces are closed. The only test that can define this disease currently through gene test. I am looking for anyone else who has been diagnosed with CIAS1 or CAPS related diseases.

9 replies

I was just recently diagnosed with Muckle-Wells syndrome. I went through the same thing, doctors thinking that it was all in my head and that the only thing wrong with me is that I work in the medical field and "know a little to much". It is very frustrating to go through. I was tested in May of this year on a whim by my new Rheumatologist after she did some research on periodic fever disorders. I have started Kineret in the last few weeks, and the local reactions that I am having are horrible. I have a 5inch x 3 inch red itchy hive on my upper arm and some smaller areas where my other injections have been. Hopefully that will all subside soon.
Aside from that I am glad that I finally have an answer to why I always have a fever, joint pain, rashes and fatigue.

My youngest sister also tried the Kineret. She ended up having to stop besause she developed staph at injection site. Are you the only one in your family with this? They are finding out that there is a lot of overlap with all CAPS diseases and there are a lot of other things that i never attributed to FCAS as well like loose teeth. If you haven't found the nomidalliance site as yet, you should there you will find a new pamphlet that has been put together for distribution to Doctors and others that would need to know what you are experiencing and why. I,m sorry it has taken so long to reply, but initially no one out there had responded and so i do not visit this site often. Stay well and thanxs for the response. I hope the Kineret helps you. I am always here to talk about this if you need or want to. Hang in there and know that you are not alone. But you are 1 in a million literally.
Susan

Hi
I am so glad that you wrote back! Thanks for the info about nomidalliance. I think that I have been on that site.. When I was diagnosed finally in June, I did a ton of research. My Rheum laughed when I came to see her to discuss the meds because she said that it sounds like I know more about it than she did.
I don't know for sure that anyone else in my family has this. No one else in the family has any symptoms that relate to Muckle-Wells. I did have a grandfather on my fathers side that had hearing loss, migraines, and "Arthritis". He has been gone for several years, so I will never know if he had it or not. We had all been told that he had RA. The rest of my family has been offered genetic testing, but are not interested.
I am hoping that the Kineret reactions will get better. I have only been on it for about 4 weeks now, and supposedly the side effects are the worst the first month. I feel so much better aside from that, I have not had a fever since the day after I started the meds.
I have had some really strange symptoms for years and have been told by many doctors that I know too much because I work in the medical field, and that since all the labs are normal there must not be anything wrong (you have heard this i'm sure) The funny thing is that I work in the operating room where it is cold all the time. I was having constant flare ups because of the cold and stress of my job. Don't get me wrong, I love my job I would not trade it for anything else, but surgery is very stressful at times.
I have had wierd visual stuff that Iwastold could be everything from a wierd kind of seizure to migraine aura with no headaches. The other interesting thing was that I was missing a permanent tooth in the front of my mouth, and the other side's tooth was about 1/4 the size it should have been. I often wonder if that was part of this syndrome.
Anyway, thanks for writing back and hope to keep in touch.
Jennifer

I know about the Aura thing. I had 20/20 vision up until I was in my 40's. I also have a history of migraines. Earlier on they would put me in the bed, but now i just get the bright wiggle lines that take about an hour to finally clear out. I have been telling my eye doctor that even though my tests are showing that my vision is not all that bad (reading glasses) that I can not see clearly. I am seeing whispy black smoky spiderwebs now. I think i may have developed uveitis. My younger sis has it and she has had to have shots in the eye yuck. I'm afraid you possible do know more than your present physician about this disease. Hopefully you have one that listens and doesn't think that you are one of those people who self diagnose with no basis. be proactive with your health and there is a Dr. Hoffman who know exactly what we experience and they are finding out more and more daily about this . also go to msn groups and the is a group called ColdUrticariaInfoIsland where you will find lots of us. You may also find out where this came from as I did. You can get in touch with Dr. Hoffman through this group also as he regularly monitors and answers questions as well as new treatments available. Very nice man!!!
I'll talk to later,
Susan

Susan,
I applied for the msn group that you suggested. Maybe some of the other stuff that I have had go on is related to this also.
Has everyone in your family been tested for this, or just the symptomatic ones? I was reading somewhere that there can be varying symptoms even within the same family group. I have again quizzed everyone in my family, and no one has even one symptom that I have.
I spoke with a surgeon that I work with that used to treat my grandfather, and he said that the hearing loss that my grandfather had was not sensoneural, so it doesn't sound like his hearing problems were from this syndrome.
I found out that one of the surgeons that I work with has a "periodic fever disorder" also. She is out of town for a while, but she will talk to me after she gets back. I think that she may have FCAS.
Keep in touch!
Jennifer

It goes way back in my family. My father who had three brothers and two sisters, in his family all the boys including him had it. My parents had two boys and three girls. All the girls have it . In my imediate family, i have one son who has it and he has three boys who have it. There are varing degrees of severity within those who have the mutated gene. I also have one son who does not have it. The only way we knew what we have is because my youngest sister found the msn site and contacted Dr. Hal Hoffman who had her send him a blood sample and he found she had the errant gene. I signed up for the trials with Regenerron and they sent a cheek swab which affimed my mutation. We have since learned that we have overlap of FCAS and MWS which basically is just more sever inflammation other health issues. I can tell you that it does ususally get worse with age. What i could tolerate when I was younger, i no longer can. I havedaily breakouts and had to quit working in 2002. i just turned 54. Other people on the msn site who are older agree that they also have gotten worse as they age. Your Gene mutation is part of a group of mutations and they are all the same disease. There are some people on the site that can not trace it back to any other family members so you could be the first in your line. It has a 50/50 chance of being passed to your children and you would know at their birth or shortly afterward. Do you know which gene position that was affected? The only way to diagnose this is by genetic testing. They have associated quite a few genes . Check out pubmed. and enter MWS to see those. Have you had yours since birth? If your Doctor also has this then you are one of the lucky ones as most Doctors haven't got a clue and don't take it very seriously. After a while you just give up talking to them about it. Anyway the msn site will be more informative than nomid site though nomid is the same mutation and the very most severe . It is horrible what it does to children. What part of the country are you from? I am in Georgia now but i was raised in RI. Let me know what you find out and I hope the kineret is getting better for you. They have started a new trial ( go to NIH site ) this drug will not have to administered daily or even weekly . not sure of exact dosage but the drug manufacturer is Novartis. I think you could go to their site as well and search their trials for specs. Be well, Susan

Susan,
I am not sure exactly of the mutation that I have. I need to ask my Rheum for a copy of the results from my tests. You asked what part of the country I am in... I live in one of the suburbs of St. Louis, MO. I have been here all my life. I have relatives all over the country, mainly on the east coast. My family name can all be traced back to three brothers that came to the US from switzerland germany area in the 1700's. I have been trying to reasearch medical history of the rest of the family, but have not had much luck. For some reason, medical related info is pretty secretive in our family.
The Kineret is getting more tolerable, I am still getting 2X2 reactions, but I will take that over the 8X4 that I was having.
I did have a fever yesterday, not sure what that was all about. Im hoping that it is just a virus starting as I feel fine. I saw my Rheum yesterday, and she was very impressed with the progress that I have made in the last 2 months. I had nodules on my fingers that have almost gone away, and my fingers and hands are not tender like last time I saw her.
The other interesting thing is that I had been diagnosed with an "enlarged thyroid" several years ago. I had a work up for autoimmune thyroid disease that came up totally negative. When they felt my thyroid yesterday, it is back to normal size!
I also started seeing a new primary care doctor yesterday. The one that I had been seeing can never get me in, and when I do go see her I just feel like she has no clue what to do with me... The new doctor was great she actually showed some interest in the syndrome. I gave her a list of websites to go to (seems funny the patient explaining how something works)
As far as how long I have had symptoms... I don't remember being as miserable with it as a child, but my mom said that I had a lot of days that I was just a "lump on a log" and that I had a lot of fevers that could not be explained. I really started having issues in 2004-2005. It seemed to get worse, towards the end I had fever and joint pain almost constantly.
The doctor that I know with this is not actually my own personal physician. I am a Surgical Technologist, and often scrub cases with her. I have not seen her in a while, I will talk to her next time I scrub with her.
Hope everything is well for you!
Jennifer
p.s. I have requested to join the colduritcariaisland, but have not been approved yet. Hope they approve me soon.

WHAT NAME ARE YOU REQUESTING UNDER AT THE SITE? I WILL ASK BRAD THE SITE MANAGER TO GET YOU ON. THERE IS A LOT OF US COMPARABLY, AT THAT SITE. I TOO HAD A HARD TIME FIND ANY INFO ON MY FATHERS SIDE AND THAT IS WHERE THIS COMES FROM. DO YOU ALSO GET THE URTICARIA WITH YOURS? MY FCAS/MWS GOT WORSE WITH AGE. I NO LONGER CAN WORK. WINTERS TO COLD SUMMER TO MUCH AC. I WAS AT THE EYE DOC. LAST FRIDAY AND I GAVE THEM THE INFO I AM CONCERNED WITH UVEITIS AS I AM SEEING A LOT OF FLOATERS, WELL THEY DID ALL KINDS OF GLACOMA TESTING AND AFTER THREE HOURS, I HAD TO LEAVE AS I WAS STARTING TO GET SICK. THEY JUST DON'T GET IT. I CAN'T JUST GO OUTSIDE AND WARM UP. ONCE THE SICKNESS HAS STARTED, IT MUST RUN ITS FULL COURSE BEFORE I AM WELL AGAIN. SO SICK OF TRYING TO EXPLAIN IT TO PEOPLE ESPECIALLY MEDICAL PEOPLE. THEY KNOW IT ALL AND ASSUME YOU ARE EXAGERRATING. I GIVE THEM THE PAMPHLET AND THEY GLANCE AT IT, PRETEND TO BE INTERESTED AND AWAY IT GOES TO THE BACK OF THE FOLDER NEVER TO BE REVIVED. I AM ESPECIALLY DOWN TODAY SORRY. I GOT THE NEWS THAT THEY HAVE POSTPONED MY SSDI HEARING AGAIN . THIS IS THE SECOND TIME. THEY WANT TO TALK TO DR.HOFFMAN WHO IS MORE THATNWILLING TO SPEAK TO THEM ABOUT THE DISEASE AND MY SPECIFIC CASE AS HE HAS MY MED. RECORDS AND HAS WRITTEN ME A LETTER CLAIMING HE AGREES WITH MY DISABILITY. AS WELL AS MY FAMILY PHYSICIAN. I DON'T UNDERSTAND IT. IT HASBEEN OVER TWO YEARS NOW AND I LEFT WORK IN 2002.BUT DID NOT APPLY UNTIL 2006. NOW I AM FACING LOSING EVERYTHING MY HUSBAND AND I WORKED FOR FOR 20 YEARS. IT HAS BEEN A BAD FEW DAYS FOR ME. NOW WE HAVE A TROPICAL STORM COMING AT US AND THAT WILL SURELY BRING ON AN EPISODE. I AM GLAD THE KINERET IS WORKING FOR YOU. I WISH I HAD BEEN ABLE TO TAKE THE ARCALYST AS WAS MY PLAN WHEN I SIGNED UP FOR THE RESEARCH. JUST ONE DAY TO FEEL NORMAL WAS ALL I WANTED. LET ME SHUT UP ABOUT ME. WISH YOU WELL AND I WILL WRITE AGAIN WHEN I GET OVER THIS PITTY PARTY.
SUSAN

Susan,
You are entitled to a pitty party, feel free to pitty all you want!! :)
I applied to the site with the name jendeefur. I figured it was just gonna take a while.
Hope you have a better day tommorrow..

jennifer

Add to the discussion

New user? Join here.
Forgot password?
Keep me signed in on this computer until I sign out

Search

Find information and discussion about health topics in 296,020 posts by members like yourself. Learn more...

Join

Join safe, secure groups sponsored by trusted organizations that care about your health. Learn more...

Connect

Connect with 80,138 members and make friends who share your interests, learn about conditions and treatments, find support and more. Learn more...

You