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Increased prevalence of MEFV exon 10 variants in Japanese patients with adult onset Still's disease.
[familial mediterranean fever]
Autoinflammatory
diseases
include
a
large
spectrum
of
monogenic
diseases
,
e
.
g
.
familial
Mediterranean
fever
(
FMF
)
,
as
well
as
complex
genetic
trait
diseases
e
.
g
.
adult
onset
Still
's
disease
(
AOSD
)
.
In
populations
where
FMF
is
common
,
an
increased
MEFV
mutation
rate
is
found
in
patients
with
rheumatic
diseases
.
The
aim
of
this
study
was
to
examine
MEFV
mutations
in
Japanese
patients
with
AOSD
.
Genomic
DNA
was
isolated
from
49
AOSD
patients
and
105
healthy
controls
,
and
exons
1
,
2
,
3
,
and
10
of
the
MEFV
gene
genotyped
by
direct
sequencing
.
MEFV
mutation
frequencies
in
AOSD
patients
were
compared
with
controls
.
We
found
no
significant
difference
in
overall
allele
frequencies
of
MEFV
variants
between
AOSD
patients
and
controls
.
However
,
MEFV
exon
10
variants
(
M
694
I
and
G
632
S
)
were
significantly
higher
in
AOSD
patients
than
controls
(
6
.
1
%
versus
0
%
)
.
In
addition
,
there
was
no
significant
difference
between
MEFV
variant
carriers
and
non-carriers
with
clinical
manifestations
,
but
the
monocyclic
clinical
course
of
the
AOSD
disease
phenotype
was
less
frequently
observed
in
patients
without
MEFV
variants
.
AOSD
patients
had
significantly
higher
frequencies
of
MEFV
exon
10
mutations
,
suggesting
that
low
-frequency
variants
of
MEFV
gene
may
be
one
of
the
susceptibility
factors
of
AOSD
.
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