Pyogenic Sterile Arthritis, Pyoderma Gangrenosum, and Acne Syndrome

Pyogenic sterile arthritis, pyoderma gangrenosum, and acne syndrome: PAPA syndrome is an autosomal dominant autoinflammatory disorder caused by mutations in the PSTPIP1 gene. It results in recurrent, destructive, early-onset inflammation of the joints, skin and muscle that occurs without discernible infection. Biopsies of synovial tissue show massive polymorphonuclear, neutrophil-rich infiltrates without immunoglobulin or complement deposits. The episodic inflammatory arthritis typically does not resolve spontaneously and must be treated with intraarticular steroids or surgical drainage of the infiltrate. Some affected individuals have expanding inflammatory, ulcerative skin lesions (pyoderma gangrenosum) and/or severe acne conglobata consisting of many painful abscesses and draining sinuses that heal with scarring. Pathergy (injection site abscess) is also common.

Tests Available

Forms and Documents

Test Details

ELANE (ELA2), LPIN2, MEFV, MVK, NLRP3 (CIAS1), PSTPIP1, TNFRSF1A
  • Confirmation of a clinical diagnosis
  • To assist in determining the most appropriate therapy, as the response to specific therapeutic modalities depends on the diagnosis
  • Recurrence risk
  • Carrier testing in at-risk family members
  • Prenatal diagnosis
  • Next-Gen Sequencing

Ordering

367
3 weeks
2-5 mL Blood - Lavender Top Tube
Oral Rinse (30-40 mL)|Buccal Swabs

Billing

81404x1, 81479x6
Yes
Yes
* For price inquiries please email zebras@genedx.com

References

  1. Aksentijevich et al., (2007) Arth Rheum 56:1273-1285
  2. Dode et al., (2002) Arth Rheum 46:2181-2188
  3. Aksentijevich et al., (2001) Am J Hum Genet 69:301-314
  4. Booty et al., (2009) Arth Rheum 60:1851-1861
  5. Touitou (2001) Eur J Hum Genet 9:473-483
  6. Aksentijevich et al., (1999) Am J Hum Genet 64:949-962
  7. Aganna et al., (2003) Arth Rheum 48:2632-2644
  8. Cuisset et al., (2001) Eur J Hum Genet 9:260-266
  9. Mandey et al., (2006) Hum Mutat 27:796-802
  10. D’Osualdo et al., (2005) Eur J Hum Genet 13:314-320
  11. El-Shanti et al., (2007) Clin Ortho Rel Res 462:11-19
  12. Shoham et al,, (2003) PNAS 100:13501-13506
  13. Wise et al,, (2002) Hum Mol Genet 11:961-969
  14. Horwitz, M. (1999) Nat Gen 23:433-436
  15. Bellanne-Chantelot (2004) Blood 103: 4119-4125
  16. Dale et al., (2000) Blood 96:2317-2322

Forms and Documents

Test Details

PSTPIP1
  • Confirmation of a clinical diagnosis
  • To assist in determining the most appropriate therapy, as the response to specific therapeutic modalities depends on the diagnosis
  • Recurrence risk
  • Prenatal diagnosis
  • Capillary Sequencing

Ordering

2102
3 weeks
2-5 mL Blood - Lavender Top Tube
Oral Rinse (30-40 mL)|Buccal Swabs

Billing

81479x1
No
Yes
  • 277.3 Amyloidosis
  • 279.4 Autoimmune disease, not elsewhere classified
  • 713.7 Other general diseases with articular involvement Code first underlying disease, as: amyloidosis (277.30-277.39), familial Mediterranean fever (277.31) sarcoidosis (135)
* For price inquiries please email zebras@genedx.com

References

  1. Wise et al,, (2002) Hum Mol Genet 11:961-969
  2. Shoham et al,, (2003) PNAS 100:13501-13506

Forms and Documents

Test Details

PSTPIP1
  • Confirmation of a clinical diagnosis
  • To assist in determining the most appropriate therapy, as the response to specific therapeutic modalities depends on the diagnosis
  • Recurrence risk
  • Prenatal diagnosis
  • Capillary Sequencing

Ordering

2101
3 weeks
2-5 mL Blood - Lavender Top Tube
Oral Rinse (30-40 mL)|Buccal Swabs

Billing

81479x1
No
Yes
  • 277.3 Amyloidosis
  • 279.4 Autoimmune disease, not elsewhere classified
  • 713.7 Other general diseases with articular involvement Code first underlying disease, as: amyloidosis (277.30-277.39), familial Mediterranean fever (277.31) sarcoidosis (135)
* For price inquiries please email zebras@genedx.com

References

  1. Wise et al,, (2002) Hum Mol Genet 11:961-969
  2. Shoham et al,, (2003) PNAS 100:13501-13506

Forms and Documents

Test Details

  • Confirmation of a clinical diagnosis
  • To assist in determining the most appropriate therapy, as the response to specific therapeutic modalities depends on the diagnosis
  • Recurrence risk
  • Carrier testing in at-risk family members
  • Prenatal diagnosis
  • Next-Gen Sequencing

Ordering

400
3 weeks
2-5 mL Blood - Lavender Top Tube
Oral Rinse (30-40 mL)|Buccal Swabs

Billing

81479x1
No
Yes
  • 277.3 Amyloidosis
  • 279.4 Autoimmune disease, not elsewhere classified
  • 288 Diseases of white blood cells Excludes: leukemia (204.0-208.9)
  • 277.31 Familial Mediterranean fever, Benign paroxysmal peritonitis, Hereditary amyloid nephropathy, Periodic familial polyserositis, Recurrent polyserositis
  • 713.7 Other general diseases with articular involvement Code first underlying disease, as: amyloidosis (277.30-277.39), familial Mediterranean fever (277.31) sarcoidosis (135)
* For price inquiries please email zebras@genedx.com

References

  1. Aksentijevich et al., (1999) Am J Hum Genet 64:949-962
  2. Touitou (2001) Eur J Hum Genet 9:473-483
  3. Aksentijevich et al., (2001) Am J Hum Genet 69:301-314
  4. Bennett S. Pharmacogenomics. 2004;5(4):433-8,
  5. Booty et al., (2009) Arth Rheum 60:1851-1861
  6. Dode et al., (2002) Arth Rheum 46:2181-2188
  7. Aganna et al., (2003) Arth Rheum 48:2632-2644
  8. Cuisset et al., (2001) Eur J Hum Genet 9:260-266
  9. Mandey et al., (2006) Hum Mutat 27:796-802
  10. D’Osualdo et al., (2005) Eur J Hum Genet 13:314-320
  11. Aksentijevich et al., (2007) Arth Rheum 56:1273-1285
  12. Dale et al., (2000) Blood 96:2317-2322
  13. Bellanne-Chantelot (2004) Blood 103: 4119-4125
  14. Horwitz, M. (1999) Nat Gen 23:433-436
  15. Wise et al,, (2002) Hum Mol Genet 11:961-969
  16. Shoham et al,, (2003) PNAS 100:13501-13506
  17. El-Shanti et al., (2007) Clin Ortho Rel Res 462:11-19