Clinical Picture in Adulthood and Unusual and Peculiar Clinical Features of FMF

Ilan Ben-Zvi*, Merav Lidar, Eitan Giat, Olga Kukuy, Yaron Zafrir, Chagai Grossman, Yossi Rosman, Avi Livneh

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

5 Scopus citations

Abstract

Familial Mediterranean fever (FMF) is classically manifested with painful, irregularly recurrent, short-lasting bouts of serosal inflammation (mainly peritonitis, synovitis or pleuritis), accompanied by fever, and resolving spontaneously [1]. A rise then fall of acute-phase reactants is typical, but some patients might suffer from continuous inflammation and its associated manifestations [2]. The disease onset is usually in childhood or adolescence, but, in some patients, the initial symptoms develop later in life, during the ages of 20–40 years and sometimes even later [3]. In general, late-onset FMF has a mild phenotype and its genotype lacks the homozygous M694V genotype [3]. The clinical manifestations may vary between patients, including members of the same family and even between identical twins [4, 5]. Clinical diversity may also be seen in the same individual, with different site of attacks in different episodes.

Original languageEnglish
Title of host publicationRare Diseases of the Immune System
PublisherSpringer Nature
Pages47-80
Number of pages34
DOIs
StatePublished - 2015

Publication series

NameRare Diseases of the Immune System
Volume3
ISSN (Print)2282-6505
ISSN (Electronic)2283-6403

Keywords

  • Expand Disability Status Scale
  • Familial Mediterranean Fever
  • Familial Mediterranean Fever Patient
  • Multiple Sclerosis Patient
  • Posterior Reversible Encephalopathy Syndrome

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