Familial Mediterranean fever (FMF) is a hereditary inflammatory disorder that affects groups of patients originating from around the Mediterranean Sea (hence its name). It is prominently present in the Armenian people (up to 1 in 7 affected), Sephardi Jews (and, to a much lesser extent, Ashkenazi Jews), people from Turkey, the Arab countries and Lebanon.[Livneh A, Langevitz P. Diagnostic and treatment concerns in familial Mediterranean fever. Baillieres Best Pract Res Clin Rheumatol 2000;14(3):477-98. PMID 10985982.]
Clinical symptoms
Attacks
There are seven types of attacks. 90% of all patients have their first attack before they are 20 years old. All develop over 2-4 hours and last anytime between 6 hours and 4 days. Most attacks involve
fever:
[
]- Abdominal attacks, featuring abdominal pain affecting the whole abdomen with all signs of acute abdomen (e.g. appendicitis). They occur in 95% of all patients and may lead to unnecessary laparotomy. Incomplete attacks, with local tenderness and normal blood tests, have been reported.
- Joint attacks, occurring in large joints, mainly of the legs. Usually, only one joint is affected. 75% of all FMF patients experience joint attacks.
- Chest attacks with pleuritis (inflammation of the pleural lining) and pericarditis (inflammation of the pericardium). Pleuritis occurs in 40%, but pericarditis is rare.
- Scrotal attacks due to inflammation of the tunica vaginalis. This occurs in up to 5% and may be mistaken for acute scrotum (i.e. testicular torsion)
- Myalgia (rare in isolation)
- Erysipeloid (a skin reaction on the legs, rare in isolation)
- Fever without any symptoms (25%)
Complications
AA-amyloidosis with renal failure is a complication and may develop without overt crises. AA (amyloid protein) is produced in very large quantities during attacks and at a low rate between them, and accumulates mainly in the kidney, as well as the heart, spleen, gastrointestinal tract and the thyroid.[
More on [ Familial Mediterranean fever ]
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Chronic Illness
Familial Mediterranean Fever - Twitter SearchInt Med: Heart rate variability in familial Mediterranean fever: Rheumatology International http://url4.eu/hkG7MDLinx (Sandeep Pulim MD) Fri, 06 Nov 2009 10:06:04 -0000
Int Med: Heart rate variability in familial Mediterranean fever: Rheumatology International http://url4.eu/hkG7
Rheum: Heart rate variability in familial Mediterranean fever: Rheumatology International http://url4.eu/hjQ8MDLinx (Sandeep Pulim MD) Fri, 06 Nov 2009 09:24:25 -0000
Rheum: Heart rate variability in familial Mediterranean fever: Rheumatology International http://url4.eu/hjQ8
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Diagnosis of Familial Mediterranean Fever - Explains the Molecular Genetics Method used in the diagnosis.
Jewish Genetic Disorders (MazorNet) - Overview of Familial Mediterranean Fever, screening and testing information. Support and resources.
Meta Description: [ Familial Mediterranean Fever: Overview, Screening and Testing information, Support Resources ]
National Organization for Rare Disorders: Mediterranean Fever - Includes synonyms and abstract.
Meta Description: [ National Organization for Rare Disorders is dedicated to helping people with rare, orphan diseases. Rarediseases.org contains information on the prevention, treatment and cure of rare diseases. ]
Scientists Identify Gene for Familial Mediterranean Fever - An article covering the discovery of the gene causing the disease.
The News Release of the National Institute of Health About the Mediterranean Fever - Offers information about the disease.