Autosomal dominant periodic fevers are characterized by intermittent f
ebrile attacks of unknown etiology and by recurrent abdominal pains. T
he biochemical and molecular bases of all autosomal dominant periodic
fevers are unknown, and only familial Hibernian fever (FHF) has been d
escribed as a distinct clinical entity. FHF has been reported in three
families-the original Irish-Scottish family and two Irish families wi
th similar clinical features. We have undertaken a genomewide search i
n these families and report significant multipoint LOD scores between
the disease and markers on chromosome 12p13. Cumulative multipoint lin
kage analyses indicate that an FHF gene is likely to be located in an
8-cM interval between D12S77 and D12S356, with a maximum LOD score (Z(
max)) of 3.79. The two-point Z(max) was 3.11, for D12S77. There was no
evidence of genetic heterogeneity in these three families; it is prop
osed that these markers should be tested in other families, of differe
nt background, that have autosomal dominant periodic fever, as a prelu
de to identification of the FHF-susceptibility gene.