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CANDLE syndrome is a rare autoinflammatory condition. CANDLE stands for chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature.
It often starts during a child's first year of life.
Affected children may have enlarged livers and high levels of liver enzymes. Chronic anemia and low height and weight are also part of CANDLE syndrome.
It’s very rare. There are only 60 known CANDLE syndrome cases in the world.
Changes to the PSMB8 gene are mostly the cause of CANDLE syndrome. These changes lead to a buildup of protein waste products and cause other cells to malfunction.
It's hard to diagnose CANDLE syndrome without genetic testing. And because it's an autoimmune disease, testing is sometimes inconclusive.
Disorders related to CANDLE syndrome include:
Because it's mainly genetic, you can’t prevent CANDLE syndrome.
At this time, we need more research around risk factors to understand it better.
But early diagnosis and treatment can greatly improve a child's quality of life. Both may also increase life expectancy since the risk of organ inflammation is high.
Almost all cases of CANDLE syndrome start early in infancy. But signs and symptoms may look very different from child to child.
That said, many of CANDLE syndrome's symptoms can cause pain and discomfort.
Common signs and symptoms include:
If you notice any of the following in your baby, call your doctor right away:
Treatments may help your child even if the cause of CANDLE syndrome isn't clear. That's why early diagnosis matters.
Doctors may suspect CANDLE syndrome when a child shows the following symptoms:
Genetic testing is currently the only way to confirm a CANDLE syndrome diagnosis. An advanced skin biopsy may also help with a diagnosis.
Because CANDLE syndrome is so new and rare, the prognosis and survival rate are unclear.
Multi-organ inflammation is the most serious, life-threatening symptom.
Investments in treatment and research may offer hope for the future.
There’s no current standard treatment for CANDLE. We need more research to find a specific treatment for all cases.
But the risks of leaving CANDLE syndrome untreated are high.
To help kids who have rare autoimmune disorders, UPMC Children's Hospital of Pittsburgh created a special program. It's called IDDAT: the Immune Dysregulation Diagnosis and Treatment Program. It’s part of the Center for Rare Disease Therapy (CRDT).
Here are some of the specialties within IDDAT:
These specialists work together to help kids with CANDLE syndrome and related disorders.
Our doctors tailor care to each child and aim to:
Physical therapy to prevent joint contractures and specific organ therapy is vital.
We also keep a close eye on inflammatory attacks through:
Families who work with the IDDAT team enjoy:
Learn how others are finding help and hope for their child’s rare disease through the expertise at UPMC Children’s.
View Center for Rare Disease Therapy patient stories »
At the CRDT, every child diagnosed with a rare disease receives a tailored treatment plan and family-centered care.
For an appointment, consult, or referral, contact us:
We’ll be in touch within 2 business days.
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UPMC Children’s Hospital of Pittsburgh One Children’s Hospital Way 4401 Penn Ave. Pittsburgh, PA 15224
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