Chronic destructive arthritis as an isolated symptom of familial Mediterranean fever (FMF) in a 17 year old Turkish boy
نویسندگان
چکیده
Methods For 11 years a Turkish boy (HLA B 27 negative) suffers from chronic athralgia predominantly of the left hip. No history of trauma, no signs of fever, no abdominal pain and no other physical complaints. Repeated MRI of symptomatic region was classified as multifocal non bacterial osteitis (NBO) of greater trochanter, Os pubis, Os ileum and Ilsosacral joints. Despite the long-term use of NSAID, MTX and systemic and intraarticular Glucocorticoids, no enduring therapeutic response was achievable. Athralgia progressed and range of movement in the left hip decreased dramatically within the last months.
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