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Blood and immune system diseases

Mevalonate kinase deficiency (MKD, hyper-IgD syndrome)

An inherited disease with attacks of fever that begin in infancy. The mild form is known as hyper-IgD syndrome, and the severe form as mevalonic aciduria.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Blood and immune system diseases” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

A change in the MVK gene causes an enzyme called mevalonate kinase to work poorly. This enzyme plays a part in making cholesterol. The lack of the enzyme causes attacks of inflammation. The less enzyme there is, the more severe the disease.

Which symptoms can occur?

Fever attacks usually last 3–6 days. During attacks, the following may be seen:

  • High fever that starts with chills (common)
  • Painful swollen lymph nodes in the neck
  • Abdominal pain, vomiting and diarrhea
  • Skin rash and mouth ulcers
  • Joint pain and headache
  • In the severe form, delayed development, seizures and vision problems

How is it diagnosed?

During attacks, mevalonic acid is found to be raised in the urine. A genetic test of the MVK gene confirms the diagnosis. Inflammation markers in the blood and urine tests are used for follow-up.

Treatment and care

Anti-inflammatory medicines and cortisone can ease attacks. Biological medicines that suppress inflammation are also used. There is an approved biological treatment for this disease. Attacks may become less frequent with age. Children on treatment have blood and urine tests at least twice a year. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

Inheritance is recessive. The mother and father are usually healthy carriers. For a carrier couple, the chance of an affected child in each pregnancy is 1 in 4. Recessive diseases may be more common when parents are related by blood. Genetic counselling is recommended.

Source: MedlinePlus Genetics: Mevalonate kinase deficiency · PRINTO/PReS: Mevalonat Kinaz Eksikliği (MKD) (veya Hiper IgD Sendromu) · Orphanet: Mevalonate kinase deficiency (ORPHA:309025)

Key facts

How common is it?
Prevalence: <1 per 1 000 000 (Worldwide)
How is it inherited?
Not inherited
When does it usually start?
Infancy

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

For all rare diseases: Nadir Hastalıklar Federasyonu

Links checked on October 8, 2026.

Guides related to this disease

  • Rare disease at school · Telling the school, medicines and emergency plan, inclusion and BEP, support education room, absences, LGS/YKS arrangements, peer bullying.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about MKD (hyper-IgD)

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

ClinicalTrials.gov currently lists no active interventional studies for this disease. Last checked: October 7, 2026.

See all studies on ClinicalTrials.gov · Joining clinical trials

Blood and immune system diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:309025

No separate ICD-11 code; WHO classifies this disease under: 5C52.10

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.