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KMID : 0988920150130030287
Intestinal Research
2015 Volume.13 No. 3 p.287 ~ p.290
Familial Mediterranean Fever With Complete Symptomatic Remission During Pregnancy
Kim Kwang-Taek

Jang Hyun-Joo
Lee Jae-Eun
Kim Mi-Kang
Yoo Jun-Jae
Lee Gye-Yeon
Kae Sea-Hyub
Lee Jin
Abstract
Familial Mediterranean fever (FMF) is an inherited autosomal recessive disorder, ethnically restricted and commonly found among populations surrounding the Mediterranean Sea. FMF is the most prevalent autoinflammatory disease; is characterized by recurrent, self-limited episodes of fever with serositis; and is caused by Mediterranean fever gene (MEFV) mutations on chromosome 16. We describe a case of adult-onset FMF with complete symptomatic remission during pregnancy, without the use of colchicine. A 25-year-old woman had presented with periodic fever, abdominal pain, and vomiting since she was 21. Her abdominal computed tomography scan showed intestinal nonrotation. She underwent exploratory laparotomy and appendectomy for her symptoms 1 year prior. She had a symptom-free pregnancy period, but abdominal pain and fever recurred after delivery. Mutation analysis of the MEFV gene revealed two point mutations (p.Leu110Pro and p.Glu148Gln). We report an adult female patient with FMF in Korea with complete symptomatic remission during pregnancy.
KEYWORD
Familial Mediterranean fever, Periodic fever syndrome, MEFV gene, Pregnancy
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