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An intermediate form of cryopyrin-associated periodic syndrome (CAPS) and is characterized by recurrent fever (with malaise and chills), recurrent urticaria-like skin rash, sensorineural deafness, general signs of inflammation (eye redness, headaches, arthralgia/myalgia) and potentially life-threatening secondary amyloidosis (AA type).
Features include always present findings: Conjunctival hyperemia, Hearing loss (hearing impairment), Short stature, and Deep dermal perivascular inflammatory infiltrate and others; and common findings: Conjunctivitis. 24 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 2 | Conjunctival hyperemia, Conjunctivitis |
NLRP3 encodes NLR family pyrin domain containing 3 (1,036 aa). Sensor component of the NLRP3 inflammasome, which mediates inflammasome activation in response to defects in membrane integrity, leading to secretion of inflammatory cytokines IL1B and IL18 and pyroptosis. Highest expression in Whole Blood (23.3 TPM) and Lung (6.7 TPM).
Muckle-Wells syndrome is associated with mutations in the NLRP3 gene on chromosome 1.
The NLRP3 protein participates in CLEC7A/inflammasome pathway pathway.
NLRP3 is classified as a druggable target (Druggable Genome category) with score 5.8.
Genetic testing for NLRP3 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Muckle-Wells syndrome has been reported in the published literature.
Phenotype severity distribution: 18 always present features, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
2 clinical trials registered, 1 recruiting. Interventions under study include drug therapy, other interventions, medical devices, and gene therapy. Pipeline includes 1 PHASE1, 1 NA. Research is primarily sponsored by academic and government institutions.
86 publications have been identified in PubMed for Muckle-Wells syndrome. Research spans Review / Meta-Analysis (26%), Case Report / Case Series (22%), and Basic Science / Preclinical (22%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 22 |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 2:56 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Muckle-Wells syndrome
Ears
2 |
Hearing loss (hearing impairment), Progressive sensorineural hearing impairment |
Kidneys and urinary system | 2 | Reduced kidney function (renal insufficiency), Renal amyloidosis |
Brain and nerves | 2 | Chronic fatigue, Headache |
Blood and immune system | 2 | Vasculitis, Elevated white blood cell count (increased total leukocyte count) |
Bones and joints | 2 | Polyarticular arthritis, Arthralgia |
Skin | 2 | Urticaria, Maculopapular exanthema |
Growth and development | 1 | Short stature |
Muscles | 1 | Myalgia |
Lab test results | 1 | Elevated CRP (inflammation marker) (elevated circulating c-reactive protein concentration) |
Arms and legs | 1 | Clubbing of fingers |
Metabolism | 1 | Recurrent fever |
Age of onset: adulthood, later in life, childhood.
Patient case studies | 19 | 22% |
Laboratory research | 19 | 22% |
Clinical study results | 6 | 7% |
Other research | 5 | 6% |
Testing and diagnosis research | 5 | 6% |
Disease patterns and progression | 5 | 6% |
New treatment approaches | 5 | 6% |
Bardoulet L (2026). [PMID: 42124567](https://pubmed.ncbi.nlm.nih.gov/42124567/). *bioRxiv*. [Diagnostic / Biomarker]
Palmeri S (2026). [PMID: 41365842](https://pubmed.ncbi.nlm.nih.gov/41365842/). *Rheumatology (Oxford)*. [Case Report / Case Series]
Bouramtane A (2026). [PMID: 41261519](https://pubmed.ncbi.nlm.nih.gov/41261519/). *Int J Immunogenet*. [Review / Meta-Analysis]
Kawata Y (2026). [PMID: 41075074](https://pubmed.ncbi.nlm.nih.gov/41075074/). *Clin J Gastroenterol*. [Case Report / Case Series]
Balan K (2026). [PMID: 42264383](https://pubmed.ncbi.nlm.nih.gov/42264383/). *J Am Acad Dermatol*. [Review / Meta-Analysis]
Toledano-Pinedo M (2026). [PMID: 41750257](https://pubmed.ncbi.nlm.nih.gov/41750257/). *Biomolecules*. [Review / Meta-Analysis]
Koller BH (2026). [PMID: 41723527](https://pubmed.ncbi.nlm.nih.gov/41723527/). *J Neuroinflammation*. [Basic Science / Preclinical]
Levin JA (2026). [PMID: 41961992](https://pubmed.ncbi.nlm.nih.gov/41961992/). *A A Pract*. [Case Report / Case Series]
Kato C (2026). [PMID: 41263512](https://pubmed.ncbi.nlm.nih.gov/41263512/). *Mod Rheumatol*. [Clinical Trial Publication]
Snouwaert JN (2026). [PMID: 41797712](https://pubmed.ncbi.nlm.nih.gov/41797712/). *JCI Insight*. [Basic Science / Preclinical]