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Hyperimmunoglobinemia D with periodic fever (HIDS) is a rare autoinflammatory disease characterized by periodic attacks of fever and a systemic inflammatory reaction (cervical lymphadenopathy, abdominal pain, vomiting, diarrhea, arthralgias and skin signs).
Features include always present findings: Elevated urine mevalonic acid level, Skin rash, and Hepatosplenomegaly; and very common findings: Lymphadenitis, Lymphadenopathy, Myalgia, and Elevated erythrocyte sedimentation rate and others. 49 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 9 | Enlarged spleen (splenomegaly), Diarrhea, Vomiting |
MVK encodes mevalonate kinase (396 aa). Catalyzes the phosphorylation of mevalonate to mevalonate 5-phosphate, a key step in isoprenoid and cholesterol biosynthesis Highest expression in Testis (41.6 TPM) and Esophagus Mucosa (40.7 TPM).
Hyperimmunoglobulinemia D with periodic fever is associated with mutations in the MVK gene on chromosome 12.
The MVK protein participates in SREBP1A,2:NF-Y:SP1:MVK gene and Expression of Mevalonate Kinase (MVK) pathways.
MVK is classified as a druggable target (Enzyme and Kinase categories) with score 8.7.
Genetic testing for MVK is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for hyperimmunoglobulinemia D with periodic fever has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 11 very common features, 13 common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered. Interventions under study include biologic therapy. Research is primarily industry-sponsored.
71 publications have been identified in PubMed for hyperimmunoglobulinemia D with periodic fever. Research spans Case Report / Case Series (42%), Epidemiology / Natural History (24%), and Review / Meta-Analysis (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 30 | 42% |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 4:32 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves |
6 |
Headache, Febrile seizure (within the age range of 3 months to 6 years), Seizure |
Blood and immune system | 5 | Increased total neutrophil count, Recurrent infections, Enlarged spleen (splenomegaly) |
Skin | 4 | Skin rash, Urticaria, Erythema |
Bones and joints | 3 | Joint inflammation (arthritis), Arthralgia, Limitation of joint mobility |
Muscles | 2 | Myalgia, Limitation of joint mobility |
Lab test results | 2 | Increased circulating IgD concentration, Increased circulating IgA concentration |
Ears | 1 | Vertigo |
Kidneys and urinary system | 1 | Renal angiomyolipoma |
Metabolism | 1 | Recurrent fever |
Eyes | 1 | Optic disc pallor |
Growth and development | 1 | Growth delay |
Disease patterns and progression |
17 |
24% |
Research summaries | 14 | 20% |
Clinical study results | 5 | 7% |
Testing and diagnosis research | 2 | 3% |
Laboratory research | 2 | 3% |
New treatment approaches | 1 | 1% |
Zhang B (2026). [PMID: 42125081](https://pubmed.ncbi.nlm.nih.gov/42125081/). *Front Med (Lausanne)*. [Case Report / Case Series]
Ward RC (2026). [PMID: 41718733](https://pubmed.ncbi.nlm.nih.gov/41718733/). *Pediatric nephrology (Berlin, Germany)*. [Review / Meta-Analysis]
Xiong LY (2026). [PMID: 41674423](https://pubmed.ncbi.nlm.nih.gov/41674423/). *Zhonghua er ke za zhi = Chinese journal of pediatrics*. [Epidemiology / Natural History]
He T (2026). [PMID: 41692116](https://pubmed.ncbi.nlm.nih.gov/41692116/). *The Journal of allergy and clinical immunology*. [Clinical Trial Publication]
Zhang Y (2026). [PMID: 41777647](https://pubmed.ncbi.nlm.nih.gov/41777647/). *Frontiers in oncology*. [Case Report / Case Series]
Kandil AH (2026). [PMID: 42120817](https://pubmed.ncbi.nlm.nih.gov/42120817/). *Clin Rheumatol*. [Review / Meta-Analysis]
Pugliese A (2026). [PMID: 41680896](https://pubmed.ncbi.nlm.nih.gov/41680896/). *Orphanet journal of rare diseases*. [Basic Science / Preclinical]
Cai L (2026). [PMID: 42038622](https://pubmed.ncbi.nlm.nih.gov/42038622/). *Antimicrob Steward Healthc Epidemiol*. [Clinical Trial Publication]
Salvo Jiménez J (2026). [PMID: 41635243](https://pubmed.ncbi.nlm.nih.gov/41635243/). *Ocular immunology and inflammation*. [Case Report / Case Series]
Kumar V (2026). [PMID: 42074557](https://pubmed.ncbi.nlm.nih.gov/42074557/). *Genes (Basel)*. [Case Report / Case Series]