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Familial Mediterranean fever in Syrian children: phenotype-genotype correlation.
[familial mediterranean fever]
Familial
Mediterranean
fever
(
FMF
)
is
an
autosomal
recessive
disease
characterized
by
recurrent
attacks
of
serosal
membranes
.
In
this
study
,
103
unrelated
Syrian
children
were
included
.
Mutation
screening
of
the
MEditerranean
FeVer
gene
was
performed
for
12
mutations
.
Abdominal
pain
was
observed
in
91
(
88
.
3
Â
%
)
of
the
patients
,
fever
in
82
(
79
.
6
Â
%
)
,
arthritis
in
27
(
26
.
2
Â
%
)
,
pleuritis
in
7
(
6
.
7
.
5
Â
%
)
,
rash
and
erysipelas
-like
erythema
in
5
(
4
.
8
Â
%
)
,
myalgia
in
5
(
4
.
8
Â
%
)
,
headache
in
5
(
4
.
8
Â
%
)
and
Henoch-
Schonlein
purpura
in
1
(
0
.
97
Â
%
)
.
The
most
frequent
mutation
was
M
694
V
.
In
order
to
determine
the
association
between
M
694
V
and
clinical
features
of
FMF
,
we
compared
the
disease
features
between
patients
with
and
without
this
mutation
.
The
presence
of
M
694
V
was
found
to
be
associated
with
more
severe
course
of
FMF
,
earlier
age
of
onset
and
more
frequent
arthritis
in
the
Syrian
children
with
FMF
compared
to
other
FMF
patients
who
do
not
have
this
mutation
.
Diseases
Validation
Diseases presenting
"erythema"
symptom
acute rheumatic fever
cowden syndrome
cutaneous mastocytosis
epidermolysis bullosa simplex
erythropoietic protoporphyria
familial mediterranean fever
harlequin ichthyosis
inclusion body myositis
kindler syndrome
lamellar ichthyosis
legionellosis
liposarcoma
malignant atrophic papulosis
neuralgic amyotrophy
omenn syndrome
pyomyositis
thoracic outlet syndrome
This symptom has already been validated