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Familial Mediterranean Fever Associated with MEFV Mutations in a Large Cohort of Cypriot Patients.
[familial mediterranean fever]
Familial
Mediterranean
fever
(
FMF
)
is
caused
by
mutations
in
the
MEFV
gene
and
the
spectrum
of
mutations
among
Greek
-
Cypriots
with
FMF
-related
symptoms
was
examined
.
Sequence
analysis
for
exons
2
,
3
,
5
,
and
10
of
the
MEFV
gene
was
performed
in
a
cohort
of
593
patients
.
A
total
of
70
patients
carried
mutations
in
the
homozygote
or
compound
heterozygote
state
,
128
were
identified
with
one
MEFV
mutation
and
395
had
no
mutations
.
Of
the
268
identified
alleles
,
p
.
Val
726
Ala
(
27
.
61
%
)
was
the
most
frequent
followed
by
p
.
Met
694
Val
(
19
.
40
%
)
.
The
missense
mutations
p
.
Arg
761
His
(
3
.
73
%
)
and
p
.
Ala
744
S
er
(
2
.
24
%
)
were
identified
as
the
rarest
.
An
interesting
finding
is
the
high
frequency
(
18
.
28
%
)
of
the
complex
p
.
Phe
479
Leu
-
p
.
Glu
167
A
sp
that
was
identified
in
49
of
the
mutated
alleles
.
The
MEFV
genotypes
did
not
follow
a
binomial
distribution
and
proved
not
to
satisfy
the
HWE
(
P
<
0
.
001
)
.
The
high
percentage
(
66
.
61
%
)
of
patients
with
unidentified
mutations
could
be
due
to
mutations
in
the
rest
of
the
coding
or
noncoding
MEFV
gene
or
due
to
mutations
in
other
genes
that
are
also
causing
Hereditary
Recurrent
Fevers
.
Results
from
this
work
indicate
the
high
incidence
of
FMF
in
Cyprus
and
describe
the
spectrum
of
the
mutations
which
occur
in
the
country
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated