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Living with Proteosome-associated autoinflammatory syndrome

A rare genetic condition that causes skin rashes, fevers, and joint and muscle problems from early in life.

Understanding Proteosome-associated autoinflammatory syndrome

Proteosome-associated autoinflammatory syndrome is a rare genetic disorder that causes ongoing inflammation, starting from birth through childhood.

It brings early skin bumps and rashes, repeated fevers, and changes in body fat. Joints and muscles can be affected, with tight joints, joint pain, and muscle weakness. The liver and spleen may be enlarged.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary describes these features:

  • Red bumps or nodules on the skin
  • Fever that comes and goes
  • Loss of healthy body fat (lipodystrophy)
  • Tight joints and joint pain
  • Muscle weakness
  • Enlarged liver and spleen

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, genetic specialists, hormone specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in PSMB8 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Children's Skin Disease Foundation
  • 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
Would genetic testing for the PSMB8 gene help our family?
What can help with fevers and skin rashes?
Which specialists should be on our care team?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesPSMB8

This condition is caused by changes in the PSMB8 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrineSkin

Also known as: aldd; aldd syndrome; autoinflammation-lipodystrophy-dermatosis syndrome; autoinflammation, lipodystrophy and dermatosis syndrome; autoinflammation, lipodystrophy, and dermatosis syndrome; candle syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Proteosome-associated autoinflammatory syndromeGARD ID 13824 · 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 Proteosome-associated autoinflammatory syndrome.

Explore the Proteosome-associated autoinflammatory syndrome blog

Explore research for Proteosome-associated autoinflammatory syndrome

Explore actively recruiting Proteosome-associated autoinflammatory syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Proteosome-associated autoinflammatory syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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