title: Unilateral lymphocytic pleuritis as a manifestation of familial Mediterranean fever.
abstract: Familial Mediterranean fever (FMF) is an autosomal recessive disease affecting predominantly populations surrounding the Mediterranean basin. It is the most prevalent hereditary periodic fever syndrome characterized mainly by recurrent and short attacks of fever and serositis (pleuritis, arthritis, peritonitis). Unilateral polymorphonuclear exudative pleuritis associated with fever has been reported as the solitary manifestation of the first FMF attack, in < 10% of patients. This case study describes a 30-year-old Greek man with recurrent episodes of lymphocytic exudative pleuritis associated with fever. After a thorough workup (clinical criteria and molecular genetic testing identifying homozygosity polymorphisms of the FMF gene), the diagnosis of FMF was established. Treatment with colchicine, 2 mg/d, eliminated FMF attacks. To our knowledge, this is the first well-documented case report of a patient with FMF presenting with a lymphocytic exudative pleural effusion.
authors.affiliation: Department of Pneumonology, Army General Hospital of Athens, Athens, Greece. skatsenos@yahoo.gr
authors.forename: Stamatis
authors.initials: S
authors.lastname: Katsenos
authors.forename: Charalampos
authors.initials: C
authors.lastname: Mermigkis
authors.forename: Kostas
authors.initials: K
authors.lastname: Psathakis
authors.forename: Kostas
authors.initials: K
authors.lastname: Tsintiris
authors.forename: Vlassios
authors.initials: V
authors.lastname: Polychronopoulos
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Panagou
authors.forename: Kostas
authors.initials: K
authors.lastname: Ritis
authors.forename: Richard W
authors.initials: RW
authors.lastname: Light
mesh_terms: D000328:Adult; D003078:Colchicine / Q000627:therapeutic use; D010505:Familial Mediterranean Fever / Q000150:complications* / Q000188:drug therapy; D005334:Fever / Q000209:etiology; D006801:Humans; D008214:Lymphocytes / Q000473:pathology; D008297:Male; D010998:Pleurisy / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D050257:Tubulin Modulators / Q000627:therapeutic use
chemical_list: D050257:Tubulin Modulators; D003078:Colchicine