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Published on: August 15, 2019
[Familial Mediterranean Fever: a case of dominant transmission with variable penetrance]
M Porrello1, C Ciaccio, P Gallerano
1U.O. Pediatria, Azienda Ospedaliera OCR, Sciacca (AG). mporrello@libero.it
Abstract:
Familial Mediterranean Fever is an autosomal recessive disease occurring in Mediterranean and Middle Eastern populations. It is caused by mutations affecting both alleles of MEFV, a gene that encodes a neutrophil protein called pyrin. We describe a case of dominant transmission with variable penetrance.
Insights
Familial Mediterranean Fever, typically autosomal recessive, can show dominant transmission. This genetic disorder, caused by MEFV gene mutations, presents with variable penetrance in affected individuals.
Area of Science:
- Genetics and Molecular Biology
- Immunology and Inflammation
Background:
- Familial Mediterranean Fever (FMF) is an inherited autoinflammatory disorder.
- It predominantly affects individuals of Mediterranean and Middle Eastern descent.
- FMF is classically inherited in an autosomal recessive pattern, linked to mutations in the MEFV gene.
Observation:
- FMF is generally inherited in an autosomal recessive pattern.
- Mutations in the MEFV gene, encoding the pyrin protein, are the underlying cause.
- This report details an unusual case exhibiting dominant inheritance.
Findings:
- The identified FMF case demonstrated dominant transmission patterns.
- Variable penetrance was observed within the affected family.
- This challenges the typical understanding of FMF inheritance.
Implications:
- This case expands the known spectrum of FMF inheritance.
- Understanding variable penetrance is crucial for genetic counseling.
- Further research into MEFV gene variants and their expression is warranted.
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