Wissler's syndrome

Wissler's syndrome is a rheumatic disease that has a similar presentation to sepsis. It is sometimes considered closely related to Still's disease.[1] It is named for Guido Fanconi and Hans Wissler [2][3] It was first described by Wissler in 1944 and Fanconi in 1946. Single observations by E. Uhse in 1943 («Febris maculosa intermittens»), Fykow in 1929 and Nowak in 1942.

Wissler's syndrome
Other namesWissler's disease or Wissler-Fanconi syndrome
SpecialtyImmunology, rheumatology 

Signs and symptoms

A symptom complex characterised by the clinical features of a high intermittent fever of septic type, constantly recurring exanthema, transient arthralgia, carditis, pleurisy, neutrophil leukocytosis, and increased erythrocyte sedimentation rate.

Causes

Etiology uncertain. Wissler suggested an allergic reaction to bacteraemia as the pathogenic factor.

Epidemiology

Children and adolescents are most frequently affected; age in the reported cases varied from 5 to 17 years.

References
  1. Fink-Puches R, Smolle J, Kerl H (February 1994). "[Wissler's allergic subsepsis]". Hautarzt (in German). 45 (2): 80–3. doi:10.1007/PL00013261. PMID 8150635.
  2. synd/84 at Who Named It?
  3. H. Wissler. Über eine besondere Form sepsisähnlicher Krankheiten (Subsepsis hyperergica). Monatsschrift Kinderheilkunde, Berlin, 1943, 94: 1-15.
Classification


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