title: Periodic fever compatible with familial Mediterranean fever.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Takahashi
authors.forename: T
authors.initials: T
authors.lastname: Ebe
authors.forename: T
authors.initials: T
authors.lastname: Kohara
authors.forename: M
authors.initials: M
authors.lastname: Inagaki
authors.forename: H
authors.initials: H
authors.lastname: Isonuma
authors.forename: I
authors.initials: I
authors.lastname: Hibiya
authors.forename: T
authors.initials: T
authors.lastname: Mori
authors.forename: K
authors.initials: K
authors.lastname: Watanabe
authors.forename: H
authors.initials: H
authors.lastname: Ikemoto
mesh_terms: 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
chemical_list: D003078:Colchicine; D009638:Norepinephrine