title: Regular abdominal pain and fever in each menstruation onset: an unusual menses-associated familial Mediterrenean fever attacks and a favor result on colchicine treatment.
abstract: We present a 38-year-old woman suffering from regular abdominal pain and fever only in each menstruation onset for 7 years. The clinical symptoms, along with inflammatory findings during painful attacks, the beneficial effect of colchicine and genetic mutation (M694 V and M680I) supported the diagnosis of familial Mediterranean fever (FMF). A literature review indicated that FMF attacks occurring only during menstruation are rarely seen. This clinical picture may be confused with gynecological disorders especially in the people of Mediterranean origin.
authors.affiliation: Department of Clinical Immunology and Rheumatology, Ankara University, School of Medicine, Ankara, Turkey. duzgun@medicine.ankara.edu.tr
authors.forename: Nurşen
authors.initials: N
authors.lastname: Düzgün
authors.forename: Aşkin
authors.initials: A
authors.lastname: Ateş
authors.forename: Serpil
authors.initials: S
authors.lastname: Tuna
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D003078:Colchicine / Q000627:therapeutic use*; D010505:Familial Mediterranean Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000235:genetics; D005260:Female; D005334:Fever / Q000209:etiology*; D005500:Follow-Up Studies; D006074:Gout Suppressants / Q000627:therapeutic use*; D006801:Humans; D008599:Menstruation Disturbances / Q000150:complications / Q000235:genetics*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D006074:Gout Suppressants; D003078:Colchicine