Periodic fever compatible with familial Mediterranean fever.
A 55-year-old male presented with a recurrent fever of over 38 degrees C, occurring at irregular intervals 1-6 times a month with chest, back or abdominal pain. After admission to our hospital, we found the following characteristics: 1) the febrile attacks were accompanied by obvious inflammatory findings and pleuritis or peritonitis; 2) the patient's elder sister had a similar periodic fever; and 3) there were no apparent causative factors responsible for his symptoms. Therefore, we diagnosed this as a case compatible with familial Mediterranean fever. The febrile attacks have been completely suppressed by daily colchicine. This is the seventh case of familial Mediterranean fever reported in Japan.
Takahashi
M
M
Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Ebe
T
T
Kohara
T
T
Inagaki
M
M
Isonuma
H
H
Hibiya
I
I
Mori
T
T
Watanabe
K
K
Ikemoto
H
H
D015746:Abdominal Pain / Q000209:etiology; D001416:Back Pain / Q000209:etiology; D002637:Chest Pain / Q000209:etiology; D003078:Colchicine / Q000627:therapeutic use; D010505:Familial Mediterranean Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D006801:Humans; D007249:Inflammation; D007564:Japan / Q000453:epidemiology; D007964:Leukocytosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009638:Norepinephrine / Q000652:urine; D010996:Pleural Effusion / Q000209:etiology
D003078:Colchicine; D009638:Norepinephrine