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Blau syndrome (BS) is a rare systemic inflammatory disease characterized by early onset granulomatous arthritis, uveitis and skin rash. BS now refers to both the familial and sporadic (formerly early-onset sarcoidosis) form of the same disease. The proposed term pediatric granulomatous arthritis is currently questioned since it fails to represent the systemic nature of the disease.
Features include very common findings: Camptodactyly of finger, Intermittent generalized erythematous papular rash, and Joint inflammation (arthritis); and common findings: Uveitis. 21 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 5 | Nongranulomatous uveitis, Cystoid macular edema, Cataract |
Skin | 4 | Erythema nodosum, Intermittent generalized erythematous papular rash, Eczematoid dermatitis |
Bones and joints | 2 | Joint swelling, Joint inflammation (arthritis) |
Muscles | 2 | Tendonitis, Flexion contracture of toe |
Arms and legs | 2 | Flexion contracture of toe, Camptodactyly of finger |
Heart and blood vessels | 2 | Hypertension, Pericarditis |
Brain and nerves | 1 | Abnormal cranial nerve morphology |
Ears | 1 | Abnormality of the ear |
NOD2 encodes nucleotide binding oligomerization domain containing 2 (1,040 aa). Pattern recognition receptor (PRR) that detects bacterial peptidoglycan fragments and other danger signals and plays an important role in gastrointestinal immunity. Highest expression in Skin Sun Exposed Lower leg (18.6 TPM) and Vagina (16.5 TPM).
Blau syndrome is caused by mutations in the NOD2 gene on chromosome 16.
The NOD2 protein participates in MDP elicits a NOD2 response pathway.
NOD2 is classified as a druggable target (Cell Surface, Druggable Genome, and Kinase categories) with score 7.5.
Genetic testing for NOD2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Blau syndrome has been reported in the published literature.
Phenotype severity distribution: 3 very common features, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
4 clinical trials registered, 2 recruiting. Interventions under study include drug therapy and other interventions. Pipeline includes 1 PHASE4. Research is primarily sponsored by academic and government institutions.
51 publications have been identified in PubMed for Blau syndrome. Research spans Case Report / Case Series (47%), Review / Meta-Analysis (16%), and Basic Science / Preclinical (16%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 24 | 47% |
Research summaries | 8 | 16% |
Laboratory research | 8 | 16% |
Disease patterns and progression | 5 | 10% |
Testing and diagnosis research | 4 | 8% |
Clinical study results | 1 | 2% |
New treatment approaches | 1 | 2% |
Chithrabhanu A (2026). [PMID: 42144841](https://pubmed.ncbi.nlm.nih.gov/42144841/). *Int J Rheum Dis*. [Case Report / Case Series]
Jain P (2026). [PMID: 41902739](https://pubmed.ncbi.nlm.nih.gov/41902739/). *Ocul Immunol Inflamm*. [Case Report / Case Series]
Song H (2026). [PMID: 41888882](https://pubmed.ncbi.nlm.nih.gov/41888882/). *Arthritis Res Ther*. [Gene Therapy / Novel Therapeutics]
Zheng J (2026). [PMID: 41859084](https://pubmed.ncbi.nlm.nih.gov/41859084/). *Front Immunol*. [Case Report / Case Series]
Han X (2026). [PMID: 41491690](https://pubmed.ncbi.nlm.nih.gov/41491690/). *BMC pediatrics*. [Case Report / Case Series]
Bohbot E (2026). [PMID: 40855977](https://pubmed.ncbi.nlm.nih.gov/40855977/). *Current opinion in rheumatology*. [Review / Meta-Analysis]
Hacker V (2026). [PMID: 42124504](https://pubmed.ncbi.nlm.nih.gov/42124504/). *Acta Derm Venereol*. [Case Report / Case Series]
Wu D (2026). [PMID: 41678017](https://pubmed.ncbi.nlm.nih.gov/41678017/). *Current rheumatology reports*. [Review / Meta-Analysis]
Zhang J (2026). [PMID: 41673771](https://pubmed.ncbi.nlm.nih.gov/41673771/). *Advances in rheumatology (London, England)*. [Epidemiology / Natural History]
Tantikittipisut P (2026). [PMID: 42205009](https://pubmed.ncbi.nlm.nih.gov/42205009/). *Ann Pediatr Endocrinol Metab*. [Case Report / Case Series]
Data assembled from 8 of 12 sources · Last updated Oct 4, 2026, 5:31 AM UTC
Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning Blau syndrome
Updated Sep 24, 2026
Recent research characterizes Yao syndrome through multi-omics analysis, revealing three distinct pathophysiological axes and highlighting its divergence from Blau syndrome. This study enhances understanding of the disease mechanisms involved in Yao syndrome.
A recent study published in PubMed reveals that the type I interferon signature does not correlate with disease activity in Blau syndrome. This finding may influence future research and treatment strategies for this rare condition.
Blau syndrome, an autoinflammatory condition linked to NOD2 gene mutations, primarily affects children under 4 years old. Key clinical features include fever and granulomatous inflammation in multiple organs, necessitating a collaborative treatment approach among specialists.