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Familial Mediterranean fever-related spondyloarthropathy

P Borman1, F Gökoğlu, O Taşbaş

  • 1Department of Physical Medicine and Rehabilitation, Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey.

Insights

Familial Mediterranean fever (FMF) patients may have a higher risk of developing seronegative spondyloarthropathy. This report details two such cases and reviews existing literature on this association.

Area of Science:

  • Rheumatology
  • Genetics
  • Internal Medicine

Background:

  • Familial Mediterranean fever (FMF) is an autosomal recessive autoinflammatory disorder.
  • FMF presents with recurrent fever and serositis; articular involvement is common.
  • The link between FMF and sacroiliitis, a form of spondyloarthropathy, remains debated.

Observation:

  • Two cases of FMF with co-occurring seronegative spondyloarthropathy are presented.
  • The patients were an 18-year-old male and a 29-year-old male.
  • Literature review was conducted to explore FMF-related seronegative spondyloarthropathy.

Findings:

  • The cases suggest a potential association between FMF and seronegative spondyloarthropathy.
  • Further research is needed to confirm the prevalence and mechanisms of this association.
  • Understanding this link may improve diagnostic and treatment strategies for FMF patients.

Implications:

  • Recognizing this association could lead to earlier diagnosis of spondyloarthropathy in FMF patients.
  • This may prompt the development of targeted therapies for joint manifestations in FMF.
  • Enhanced understanding of FMF pathophysiology may emerge from studying these comorbidities.

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