A Japanese Case of Episodic Fever Compatible with Familial Mediterranean Fever
10.14442/general2000.5.21
- Author:
Hidenobu Kawabata
;
Wari Yamamoto
;
Takuya Okamoto
;
Nobuhiko Sasaki
;
Yasushi Miyata
- Publication Type:Journal Article
- Keywords:
episodic fever of unknown origin;
familial Mediterranean fever;
autoinflammatory disorders;
serositis;
colchicine;
chest pain
- From:General Medicine
2004;5(1):21-26
- CountryJapan
- Language:English
-
Abstract:
A 31-year-old Japanese female came to our outpatient clinic because of a 15-year history of recurrent episodic chest pain accompanied by fever, each lasting for three days. The patient was diagnosed with familial Mediterranean fever (FMF) because of the following: 1) short attacks of fever recurring at varying intervals; 2) pleuritic chest pain accompanied by fever; 3) the patient's sisters had similar episodes of fever accompanied by abdominal or chest pain; and 4) absence of any other causative factors responsible for her symptoms or pathologic findings. Although FMF has been described primarily in several limited ethnic groups, only a few cases have been reported in Japan. No diagnostic tests are commercially available for FMF so identifying the characteristic clinical picture of FMF is important.
