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Serum antimicrobial peptides in patients with familial Mediterranean fever.
[familial mediterranean fever]
Familial
Mediterranean
fever
(
FMF
)
is
characterized
by
recurrent
inflammation
of
serosal
and
synovial
membranes
.
Despite
the
fact
that
it
is
a
genetic
disease
,
environmental
factors
,
including
infections
,
are
shown
to
be
triggering
factors
associated
with
the
precipitation
of
attacks
in
FMF
.
Antimicrobial
peptides
(
AMPs
)
are
components
of
innate
immunity
which
exert
antimicrobial
activity
against
many
microorganisms
.
Human
AMPs
;
cathelicidin
(
LL
37
)
and
defensins
have
immunomodulatory
properties
and
are
involved
in
the
pathogenesis
of
many
inflammatory
disorders
.
Hence
,
we
investigated
serum
AMPs
in
23
newly
diagnosed
FMF
patients
.
Blood
samples
were
obtained
at
baseline
,
6
months
after
initiation
of
colchicine
and
during
an
attack
.
Twenty
-
four
healthy
individuals
constituted
the
control
group
.
The
concentrations
of
LL
37
,
alpha-
1
,
beta
-
1
and
beta
-
2
defensins
were
determined
by
ELISA
.
Serum
AMPs
did
not
change
during
attacks
and
did
not
correlate
with
acute
phase
reactants
.
However
,
serum
LL
37
and
defensins
were
found
to
be
remarkably
higher
in
FMF
patients
compared
to
healthy
individuals
both
at
baseline
and
6
months
after
initiation
of
colchicine
therapy
which
suggest
that
AMPs
might
have
a
role
in
the
pathogenesis
of
FMF
.
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