Familial Mediterranean Fever: An Unusual Case Presentation.
BACKGROUND
Familial Mediterranean Fever is a heritable illness typically characterized by recurrent fevers and serositis. Triggers of this illness include many things, such as cold or stress.


METHODS
This case describes a teenager who initially presented to the gynecologist office because of recurrent fevers with menses. Because she only had symptoms with menses, was healthy between attacks, and met the Livneh criteria, treatment with colchicine and combined oral contraceptive pills was initiated, with improvement of her symptoms.


CONCLUSIONS
There are multiple etiologies for febrile illness during menses, and one should consider familial Mediterranean fever as a possible cause of cyclic fevers.
Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York.
Raksha
R
Soora
Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York. Electronic address: katrina_nicandri@urmc.rochester.edu.
Katrina
K
Nicandri
D000293:Adolescent; D003078:Colchicine / Q000627:therapeutic use*; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use*; D010505:Familial Mediterranean Fever / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005334:Fever / Q000188:drug therapy; D006801:Humans; D008297:Male; D008598:Menstruation
D003277:Contraceptives, Oral, Combined; D003078:Colchicine
Familial Mediterranean fever; Menses; Periodic fever syndrome; Serositis