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MEFV gene mutations in Egyptian children with Henoch-Schonlein purpura.
[familial mediterranean fever]
Due
to
an
increased
frequency
of
vasculitis
in
FMF
patients
,
many
investigators
have
studied
MEFV
mutations
in
patients
with
HSP
.
The
aim
of
the
study
is
to
investigate
the
frequency
and
clinical
significance
of
MEFV
mutations
in
Egyptian
children
with
Henoch-
Schonlein
purpura
(
HSP
)
.
Investigating
MEFV
mutations
in
controls
may
help
in
estimating
the
prevalence
of
MEFV
mutation
carrier
rate
in
Egyptian
children
.
The
study
enrolled
90
individuals
,
sixty
children
with
Henoch-
Schonlein
purpura
(
HSP
)
,
together
with
30
sex-and
age-matched
apparently
healthy
controls
.
The
entire
study
group
was
screened
for
12
common
MEFV
mutations
using
a
reverse
hybridization
assay
of
biotinylated
PCR
products
.
Patients
with
HSP
had
a
significantly
higher
frequency
of
MEFV
mutations
(
61
.
7
%
)
,
when
compared
to
the
apparently
healthy
control
population
(
36
.
7
%
)
.
V
726
A
was
the
most
frequent
mutation
with
an
allelic
frequency
of
10
.
8
%
.
Ninety
-
one
percent
of
patients
with
MEFV
mutations
were
heterozygous
for
one
mutation
,
while
8
.
1
%
had
a
compound
heterozygous
MEFV
gene
mutations
.
The
mutation
V
726
A
,
followed
by
E
148
Q
,
were
the
leading
mutations
,
present
in
16
.
6
%
and
in
13
.
3
%
of
controls
.
MEFV
mutations
may
be
related
to
HSP
susceptibility
in
children
.
The
mutations
were
not
associated
with
any
clinical
and
laboratory
manifestations
.
Screening
for
MEFV
mutations
in
larger
number
of
HSP
children
may
be
beneficial
to
evaluate
any
possible
relationship
between
certain
types
of
MEFV
mutations
and
HSP
,
and
compare
the
HSP
MEFV
mutations
to
the
types
of
MEFV
mutations
associated
with
FMF
.
Diseases
Validation
Diseases presenting
"vasculitis"
symptom
coats disease
dracunculiasis
dystrophic epidermolysis bullosa
erdheim-chester disease
erythropoietic protoporphyria
familial mediterranean fever
focal myositis
inclusion body myositis
malignant atrophic papulosis
papillon-lefèvre syndrome
pyruvate dehydrogenase deficiency
scrub typhus
sneddon syndrome
typhoid
waldenström macroglobulinemia
This symptom has already been validated