Description

Blau described a familial syndrome of granulomatous inflammation that has features shared with sarcoidosis and Crohn's disease. It is associated with mutations in the NOD2 gene.


 

Gene affected: nucleotide oligomerization domain 2 (NOD2)

 

Location: 16q21

 

The syndrome may be familial with autosomal dominant inheritance or sporadic.

 

Classic triad:

(1) granulomatous dermatitis, which may present as a neonatal rash

(2) polyarticular synovitis and tenosynovitis

(3) uveitis with or without choroiditis

 

Additional clinical findings may include:

(1) lymphadenopathy

(2) sialadenitis

(3) fever

(4) granulomatous glomerulonephritis or interstitial nephritis

(5) interstitial lung disease and/or pulmonary hypertension

(6) arterial hypertension

(7) hepatic granulomatous infiltration

(8) erythema nodosum

(9) neuropathies

(10) pericarditis

(11) leukocytoclastic vasculitis

 


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