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[Hyperimmunoglobulinemia D and periodic fever syndrome].
[familial mediterranean fever]
We
report
the
cases
of
two
sisters
born
of
parents
who
were
first
-degree
cousins
,
who
started
recurrent
fever
with
lymph
node
and
digestive
tract
involvement
at
the
age
of
2
years
.
There
was
no
mutation
of
the
familial
Mediterranean
fever
gene
and
a
diagnosis
of
partial
mevalonate
kinase
(
MVK
)
deficiency
was
made
.
However
,
immunoglobulin
(
Ig
)
D
and
A
levels
were
normal
.
Elevated
mevalonic
acid
in
the
patients
'
urine
during
an
episode
and
MVK
gene
analysis
provided
the
diagnosis
.
Clinical
remission
was
obtained
under
anti-
TNF
-alpha
treatment
with
etanercept
.
These
observations
and
those
of
several
previously
reported
patients
,
particularly
in
French
and
Dutch
series
,
illustrate
the
importance
of
considering
the
diagnosis
in
a
child
with
early
-onset
auto-
inflammatory
syndrome
even
in
the
absence
of
hyper-
IgD
or
-
IgA
.
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