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KMID : 0614620140640010040
Korean Journal of Gastroenterology
2014 Volume.64 No. 1 p.40 ~ p.44
A Case of Recurrent Abdominal Pain with Fever and Urticarial Eruption
Lee Chang-Geun

Lim Yun-Jeong
Kang Hyoun-Woo
Kim Jae-Hak
Lee Jun-Kyu
Koh Moon-Soo
Lee Jin-Ho
Huh Hee-Jin
Lee Seung-Ho
Abstract
Familial Mediterranean fever (FMF) is an autosomal recessive disease characterized by recurrent episodes of fever and serosal, synovial, or cutaneous inflammation, caused by a dysfunction of pyrin as a result of mutation within the MEFV gene. It occurs mainly among Mediterranean and Middle Eastern populations, including Jews, Arabs, and Turks. However, FMF cases have been reported outside the Mediterranean and Middle Eastern countries in recent years. Although FMF has been relatively rare in Korea until now, proper recognition of FMF might lead to more frequent diagnoses of FMF. We experienced an interesting case, a 31-year-old Korean man who presented with recurrent abdominal pain with fever and urticarial eruption for 10 years. DNA analysis showed complex mutations (p.Leu110Pro, p.Glu148Gln) in the MEFV gene. To date, three cases have been reported, and this case of FMF with skin conditions is the first case in Korea.
KEYWORD
Familial Mediterranean fever, Abdominal pain, Urticaria
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