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Anesthesia Management of a Patient With Familial Cold Autoinflammatory Syndrome: A Case Report

Ruri Teshima DDS,

Akiko Nishimura DDS, PhD,

Akira Hara DDS,

Yuhei Ubukata DDS,

Sayaka Chizuwa DDS,

Mone Wakatsuki DDS, and

Takehiko Iijima DDS, PhD

Article Category: Brief Report

Volume/Issue: Volume 69: Issue 3

Online Publication Date: Oct 06, 2022

DOI: 10.2344/anpr-69-02-04

Page Range: 38 – 39

Cryopyrin-associated periodic syndrome (CAPS) is a rare autosomal dominant inherited disorder comprised of 3 phenotypes and characterized by repetitive systemic inflammation. Familial cold autoinflammatory syndrome (FCAS) is 1 phenotype of CAPS with symptoms that include fever, fatigue, rashes, headaches, and arthralgia. 1 FCAS/CAPS symptoms are triggered by cold stimulation and continue for a few hours or several days. In the case presented below, we prewarmed the patient before anesthesia induction and monitored her core and peripheral

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; Perioperative temperature records. Record of the patient's temperature throughout the procedure. The rectal (blue) and forehead (green) temperatures did not decrease after induction. The axillary temperature (red) decreased briefly but promptly recovered 10 minutes before the start of surgery.

Ruri Teshima,

Akiko Nishimura,

Akira Hara,

Yuhei Ubukata,

Sayaka Chizuwa,

Mone Wakatsuki, and

Takehiko Iijima