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Acute pericarditis as the first manifestation of familial Mediterranean fever: a possible relationship with idiopathic recurrent pericarditis.
[familial mediterranean fever]
A
56
-
year
-old
man
was
admitted
to
our
hospital
due
to
periodic
episodes
of
acute
pericarditis
.
These
episodes
occurred
monthly
along
with
a
high
fever
and
elevation
of
the
C-
reactive
protein
(
CRP
)
level
.
The
patient
became
afebrile
and
his
CRP
level
decreased
following
the
administration
of
a
non-steroidal
anti-
inflammatory
drug
.
A
mutation
analysis
revealed
the
heterozygote
of
the
familial
Mediterranean
fever
(
FMF
)
gene
(
E
84
K
,
G
304
R
)
.
This
finding
confirmed
our
diagnosis
,
and
we
treated
the
patient
with
colchicine
.
He
responded
to
treatment
and
has
been
visiting
our
hospital
without
disease
recurrence
.
FMF
should
be
included
in
the
differential
diagnosis
of
repeated
episodes
of
pericarditis
.
