CANDLE syndrome – a narrative review

CANDLE syndrome (chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature) is a rare autoinflammatory disorder beginning in early childhood. This narrative review provides an extensive overview of CANDLE syndrome, including its epidemiology, aetiology, clinical manifestat...

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Main Authors: Aleksandra Snopkowska, Joanna Gołda, Julia Mężyk, Piotr Gacka, Marcin Dołęga
Format: Article
Language:English
Published: Termedia Publishing House 2024-09-01
Series:Pediatria Polska
Subjects:
Online Access:https://www.termedia.pl/CANDLE-syndrome-a-narrative-review,127,54668,1,1.html
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author Aleksandra Snopkowska
Joanna Gołda
Julia Mężyk
Piotr Gacka
Marcin Dołęga
author_facet Aleksandra Snopkowska
Joanna Gołda
Julia Mężyk
Piotr Gacka
Marcin Dołęga
author_sort Aleksandra Snopkowska
collection DOAJ
description CANDLE syndrome (chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature) is a rare autoinflammatory disorder beginning in early childhood. This narrative review provides an extensive overview of CANDLE syndrome, including its epidemiology, aetiology, clinical manifestations, diagnostic challenges, and current treatment options. The syndrome is associated with gene mutations encoding proteasome or immunoproteasome subunits, particularly PSMB8, contributing to disrupted proteostasis and aberrant type 1 interferon production. The diagnostic criteria remain undefined, necessitating a multidisciplinary approach for accurate diagnosis and management. Despite therapeutic complexities, recent advancements in genetic testing and targeted therapies, notably Janus kinase inhibitors, offer promising avenues for improved patient outcomes. Further research and clinical trials are imperative to enhance understanding and optimise treatment strategies for this rare and debilitating condition.
format Article
id doaj-art-91fc326b90cf41f08069eb90d13cdc91
institution Kabale University
issn 0031-3939
2300-8660
language English
publishDate 2024-09-01
publisher Termedia Publishing House
record_format Article
series Pediatria Polska
spelling doaj-art-91fc326b90cf41f08069eb90d13cdc912025-01-27T10:39:50ZengTermedia Publishing HousePediatria Polska0031-39392300-86602024-09-0199433533910.5114/polp.2024.14255754668CANDLE syndrome – a narrative reviewAleksandra SnopkowskaJoanna GołdaJulia MężykPiotr GackaMarcin DołęgaCANDLE syndrome (chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature) is a rare autoinflammatory disorder beginning in early childhood. This narrative review provides an extensive overview of CANDLE syndrome, including its epidemiology, aetiology, clinical manifestations, diagnostic challenges, and current treatment options. The syndrome is associated with gene mutations encoding proteasome or immunoproteasome subunits, particularly PSMB8, contributing to disrupted proteostasis and aberrant type 1 interferon production. The diagnostic criteria remain undefined, necessitating a multidisciplinary approach for accurate diagnosis and management. Despite therapeutic complexities, recent advancements in genetic testing and targeted therapies, notably Janus kinase inhibitors, offer promising avenues for improved patient outcomes. Further research and clinical trials are imperative to enhance understanding and optimise treatment strategies for this rare and debilitating condition.https://www.termedia.pl/CANDLE-syndrome-a-narrative-review,127,54668,1,1.htmlfever dermatosis lipodystrophy candle syndrome
spellingShingle Aleksandra Snopkowska
Joanna Gołda
Julia Mężyk
Piotr Gacka
Marcin Dołęga
CANDLE syndrome – a narrative review
Pediatria Polska
fever
dermatosis
lipodystrophy
candle syndrome
title CANDLE syndrome – a narrative review
title_full CANDLE syndrome – a narrative review
title_fullStr CANDLE syndrome – a narrative review
title_full_unstemmed CANDLE syndrome – a narrative review
title_short CANDLE syndrome – a narrative review
title_sort candle syndrome a narrative review
topic fever
dermatosis
lipodystrophy
candle syndrome
url https://www.termedia.pl/CANDLE-syndrome-a-narrative-review,127,54668,1,1.html
work_keys_str_mv AT aleksandrasnopkowska candlesyndromeanarrativereview
AT joannagołda candlesyndromeanarrativereview
AT juliamezyk candlesyndromeanarrativereview
AT piotrgacka candlesyndromeanarrativereview
AT marcindołega candlesyndromeanarrativereview