We report a family with pyogenic sterile arthritis, pyoderna and acne syndrome (PAPA). The proband presented several episodes of sterile pyogenic arthritis and became unresponsive to glucocorticoids. After treatment with the tumor necrosis factor inhibitor etanercept, the disease underwent rapid and sustained clinical remission. Production of tumor necrosis factor-α by mononuclear cells of the proband and of the affected relatives was abnormally elevated.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health