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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
"high incidence"
symptom
achondroplasia
acute rheumatic fever
alexander disease
alpha-thalassemia
aniridia
coats disease
congenital adrenal hyperplasia
dystrophic epidermolysis bullosa
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
hodgkin lymphoma, classical
holt-oram syndrome
homocystinuria without methylmalonic aciduria
legionellosis
monosomy 21
neonatal adrenoleukodystrophy
papillon-lefèvre syndrome
scrub typhus
typhoid
von hippel-lindau disease
werner syndrome
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