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Familial Mediterranean fever in children: the expanded clinical profile
Journal article   Open access   Peer reviewed

Familial Mediterranean fever in children: the expanded clinical profile

H.A. Majeed, M. Rawashdeh, H. El-Shanti, H. Qubain, N. Khuri-Bulos and H.M. Shahin
QJM : monthly journal of the Association of Physicians, Vol.92(6), pp.309-318
06/1999
DOI: 10.1093/qjmed/92.6.309
PMID: 10616706
url
https://doi.org/10.1093/qjmed/92.6.309View
Published (Version of record) Open Access

Abstract

The clinical picture of familial Mediterranean fever (FMF) has been appreciably expanded in the last 10 years. Over 8 years, we studied the expanded clinical profile of FMF in 476 children. Of these, 81% had abdominal pain, 41% chest pain, 42% arthritis, 12% severe myalgia, 12% skin manifestations, 4% scrotal swelling, 3% recurrent episodic fever, and one child (0.2%) developed recurrent hyperbilirubinaemia. Two (0.4%) children developed renal complications which were reversed by colchicine; however of 19 probands, 36 family members suffered from chronic renal failure. Our study indicates a familial predisposition to nephropathy in certain families with FMF. This study is the first to report the expanded clinical profile of FMF in a large group of Arab children, giving an opportunity to compare the findings with those in children with FMF in other ethnic groups, and to help in the study of genotype-phenotype correlation.

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