raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:210115

Sterile multifocal osteomyelitis with periostitis and pustulosis

Synonyms: Autoinflammatory disease due to interleukin-1 receptor antagonist deficiency · DIRA · Interleukin-1 receptor antagonist deficiency · OMPP

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Sterile multifocal osteomyelitis with periostitis and pustulosis is a rare, severe, genetic autoinflammatory syndrome characterized by usually neonatal onset of generalized neutrophilic cutaneous pustulosis and severe, recurrent, multifocal, aseptic osteomyelitis with marked periostitis, typically affecting distal ribs, long bones and vertebral bodies. High levels of acute-phase reactants (with no fever associated) and onychosis are frequently observed additional features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSterile multifocal osteomyelitis with periostitis and pustulosisAutoinflammatory disease due to interleukin-1 receptor antagonist deficiency · DIRA · Interleukin-1 receptor antagonist deficiency · OMPP
frOstéomyélite stérile multifocale avec périostéite et pustuloseDIRA · Déficit de l'antagoniste du récepteur à l'interleukine-1 · Maladie auto-inflammatoire par déficit de l'antagoniste du récepteur à l'interleukine-1
deSterile multifokale Osteomyelitis mit Periostitis und PustuloseAutoinflammatorische Krankheit durch Interleukin-1-Rezeptorantagonist-Mangel · DIRA · Interleukin-1-Rezeptorantagonist-Mangel · OMPP
esOsteomielitis multifocal estéril con periostitis y pustulosisDIRA · Deficiencia del antagonista del receptor de interleuquina 1 · Enfermedad autoinflamatoria por deficiencia del antagonista del receptor de interleuquina 1 · OMPP
itOsteomielite multifocale sterile con periostosi e pustolosiDIRA · Deficit dell'antagonista del recettore dell'interleuchina-1 · Malattia autoinfiammatoria da deficit dell'antagonista del recettore dell'interleuchina-1 · OMPP
nlSteriele multifocale osteomyelitis met periostitis en pustuloseAuto-inflammatoire ziekte door deficiëntie van interleukine-1-receptorantagonist · DIRA · Deficiëntie van interleukine-1-receptorantagonist · OMPP
ptDoença autoinflamatória por deficiência do antagonista do recetor da interleucina-1
plJałowe wieloogniskowe zapalenie kości i szpiku z zapaleniem okostnej i krostkowicąChoroba autoimmunologiczna z powodu niedoboru antagonisty receptora interleukiny-1 · DIRA · Niedobór antagonisty receptora interleukiny-1 · OMPP
csSterilní multifokální osteomyelitida s periostitidou a pustulózouDIRA · Deficit antagonisty interleukinu 1 · OMPP · Autoimunitní choroba způsobená deficitem antagonisty interleukin-1 receptoru
ukСтерильний мультифокальний остеомієліт з періоститом та пустульозомАвтозапальне захворювання, спричинене дефіцитом антагоніста рецептора інтерлейкіну-1 · DIRA · Дефіцит антагоністів рецепторів інтерлейкіну-1 · OMPP
zh无菌多病灶骨髓炎伴骨膜炎和脓疱病白细胞介素-1受体抗体剂缺乏所致自身炎症性疾病
trPeriostitis ve püstüloz ile seyreden steril multifokal osteomiyelitDİRA · OMPP · İnterlökin-1 reseptör antagonisti eksikliği · İnterlökin-1 reseptör antagonist eksikliğine bağlı otoinflamatuar hastalık

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM612852Evalidated
ICD-10D84.8NTBTattributednot yet validated
ICD-114A00.YNTBTindexvalidated
MONDO0013021Evalidated
MeSHC557815Evalidated
UMLSC2748507Evalidated
GARD10516Evalidated
MedDRA10072224Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (7):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
IL1RNDisease-causing germline mutation(s) inAssessedHGNC:6000ENSG000001366891476792q14.1interleukin 1 receptor antagonist19494218[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families17 casesWorldwideCase(s)Validated24131530[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24131530[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card