TY - GEN AU - Karakoc-Aydiner,Elif TI - An Adolescent with Hyperimmunoglobulinemia D and Periodic Fever Syndrome Responding to Simvastatin Treatment SN - 1309-0291 AV - WE 544 PY - 2011/// CY - Ankara PB - Turkish League Against Rheumatism KW - Near East University Article KW - Yakın Doğu Üniversitesi Makale KW - Rheumatology KW - Hyperimmunoglobulinemia D KW - Periodic fever syndrome N2 - The hyperimmunoglobulinemia D and periodic fever syndrome is proposed to be caused by a defect in the activity of mevalonate kinase enzyme which is involved in cholesterol and non-sterol isoprenoid biosynthesis. This autosomal recessive inherited auto-inflammatory syndrome is characterized by recurrent fever attacks, abdominal pain, lymphadenopathy, skin lesions and joint involvement. In this article, we present our therapeutic approach with the hypolipidemic agent, simvastatin, in a 12-year-old boy followed up with a diagnosis of hyperimmunoglobulinemia D and periodic fever syndrome. Simvastatin treatment of an adolescent with hyperimmunoglobulinemia D and periodic fever syndrome unresponsive to anti-inflammatory strategies has resulted in a favorable outcome. This treatment is thought to reduce the recurrent fever attacks by reducing the mevalonic acid increase or isopreniod shortage UR - http://library.neu.edu.tr:2048/login?url=http://dx.doi.org/10.5152/tjr.2011.026 ER -