the association of familial mediterranean fever and polyarteritis nodosa: a case report

نویسندگان

reza shiari department of pediatric rheumatology, shahid beheshti university of medical sciences, mofid children’s hospital, tehran ir iran; pediatric infections research center, mofid children’s hospital, shahid beheshti university of medical sciences, tehran, ir iran; department of pediatric rheumatology, shahid beheshti university of medical sciences, tehran, ir iran. tel/fax: +98-2122227033سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

hajar sadat ahadi department of pediatric rheumatology, shahid beheshti university of medical sciences, mofid children’s hospital, tehran ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

shirin farivar department of biosciences-genetics, shahid beheshti university, tehran ir iranسازمان اصلی تایید شده: دانشگاه شهید بهشتی (shahid beheshti university)

shirin sayyahfar department of pediatrics, division of pediatric infectious diseases, ali asghar children hospital, iran university of medical sciences, tehran, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (iran university of medical sciences)

چکیده

case presentation a ten-year-old iranian boy was referred to our department with history of recurrent abdominal pain followed by fever, chills, arthralgia and scrotal edema. he suffered from hematuria and gastrointestinal bleeding. his physical exam revealed fever (axillary temperature: 38.7°c), hypertension (150/90 mmhg), hepatomegaly (liver span: 13 cm), orchitis and subcutaneous painful nodules of both legs and arthritis of both shoulders and right ankle. conclusions mutations in mefv gene provide a basis for the development of pan both by forming a pro-inflammatory state and by resulting exaggerated response to infection. introduction familial mediterranean fever (fmf) is the most common type of periodic fever syndromes. it is an autosomal recessive disorder characterized by acute, self-limited episodes of fever and polyserositis recurring at irregular intervals. vasculitis has been frequently reported in patients with familial mediterranean fever. the association of fmf and polyarteritis nodosa has been well established. clinical presentation of polyarteritis nodosa in patients with familial mediterranean fever has certain characteristics and it may be a feature of fmf itself. herein, we report on a case of familial mediterranean fever accompanied by polyarteritis nodosa with hepatic, renal and gastroinestinal involvement.

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عنوان ژورنال:
archives of pediatric infectious diseases

جلد ۳، شماره ۲، صفحات ۰-۰

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