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Familial Mediterranean fever gene mutations as a risk factor for early coronary artery disease.
[familial mediterranean fever]
Cardiovascular
diseases
(
CVD
)
are
very
common
in
the
general
population
.
Atherosclerosis
is
the
main
pathogenesis
.
Familial
Mediterranean
fever
(
FMF
)
is
an
autosomal
recessive
disease
.
The
gene
causing
FMF
,
designated
MEFV
,
encodes
a
protein
called
pyrin
or
marenostrin
that
is
expressed
mainly
in
myeloid
bone
marrow
precursors
,
neutrophils
and
monocytes
.
We
herein
aimed
to
determine
the
prevalence
of
MEFV
mutations
(
all
exon
2
,
10
mutations
)
in
patients
with
early
coronary
heart
disease
(
early
CHD
)
and
coronary
heart
disease
(
CHD
)
with
multiple
risk
factors
and
among
the
healthy
subjects
as
controls
.
A
total
of
197
patients
and
119
healthy
subjects
were
recruited
and
enrolled
into
three
groups
in
terms
of
inclusion
criteria
.
Ninety
-
one
patients
diagnosed
with
early
CHD
enrolled
into
group
one
(
men
<
Â
45
Â
years
of
age
,
women
<
Â
40
Â
years
of
age
)
,
106
patients
with
CHD
(
men
>
Â
50
Â
years
of
age
)
to
group
two
and
119
healthy
controls
enrolled
into
group
three
.
None
of
patients
was
diagnosed
with
FMF
.
The
diagnosis
of
CHD
was
established
on
electrocardiographic
changes
,
echocardiography
and
coronary
angiography
.
Thirty
-
eight
patients
(
41
.
8
%
)
with
early
CHD
,
17
patients
(
16
%
)
with
CHD
and
24
healthy
controls
(
20
.
2
%
)
carried
at
least
one
mutated
MEFV
allele
.
Young
patients
with
CHD
have
different
risk
factor
profiles
,
clinical
presentations
and
prognoses
than
older
patients
.
Young
patients
with
CHD
usually
have
multiple
risk
factors
.
This
study
suggests
that
MEFV
mutations
in
early
CHD
patients
had
significantly
increased
in
contrast
to
CHD
patients
and
healthy
controls
.
Diseases
Validation
Diseases presenting
"atherosclerosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alexander disease
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
familial mediterranean fever
harlequin ichthyosis
hereditary cerebral hemorrhage with amyloidosis
inclusion body myositis
sneddon syndrome
werner syndrome
zellweger syndrome
This symptom has already been validated