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Living with Autoinflammatory syndrome, familial, Behcet-like 1

A genetic immune condition (HA20) with recurring mouth and genital ulcers, fevers, rashes, and gut and joint inflammation.

Understanding Autoinflammatory syndrome, familial, Behcet-like 1

Autoinflammatory syndrome, familial, Behcet-like 1, also called haploinsufficiency of A20 (HA20), is a genetic immune condition with repeated episodes of inflammation.

The most common signs are repeated painful mouth and genital ulcers, recurring fevers, skin rashes, gut inflammation, and joint pain or arthritis. Less common problems include swollen lymph nodes, liver inflammation, and brain and nerve involvement. Which body systems are affected varies and can change over time, even within one family.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Painful mouth ulcers
  • Genital ulcers
  • Joint swelling and arthritis
  • Skin rash
  • Recurring fevers
  • Belly pain and bowel inflammation

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists, allergy and immune system specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in TNFAIP3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Allergy and immune system specialists (allergists / immunologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Immune Deficiency Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Immune Deficiency Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which medicines help control flares?
Which organs should be checked regularly?
Would TNFAIP3 testing help my relatives?

Quick facts

InheritanceAutosomal Dominant
GenesTNFAIP3

GARD says changes in the TNFAIP3 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticSkin

Also known as: aifbl1; behçet-like disease due to ha20; behçet-like disease due to haploinsufficiency of a20; hereditary paediatric behçet-like disease; hereditary pediatric behçet-like disease

Patient organizations

Source: NIH GARD · Autoinflammatory syndrome, familial, Behcet-like 1GARD ID 17848 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autoinflammatory syndrome, familial, Behcet-like 1.

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