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Familial Mediterranean fever and membranous glomerulonephritis: report of a case
Mevlut Ceri1, Selman Unverdi, Mustafa Altay
1Department of Nephrology, Ankara Education and Research Hospital, and Department of Pathology, Faculty of Medicine, Ankara University, Ankara, Turkey.
Abstract:
Familial Mediterranean fever (FMF) is an autosomal recessive genetic disease characterized by recurrent attacks of fever and painful episodes of sterile polyserositis. Kidney involvement may occur as a result of secondary amyloidosis during the course of FMF. Previously, different types of glomerulopathies such as IgM and IgA nephropathy, crescentic glomerulonephritis, diffuse proliferative glomerulonephritis, minimal change disease, and membranoproliferative glomerulonephritis were rarely reported. We herein represent a first case of membranous glomerulonephritis who had complete remission with colchicine treatment in the course of familial Mediterranean fever.
Insights
Familial Mediterranean fever (FMF) can cause kidney problems. This study reports the first case of membranous glomerulonephritis in FMF patients, successfully treated with colchicine.
Area of Science:
- Nephrology
- Genetics
- Rheumatology
Background:
- Familial Mediterranean fever (FMF) is a genetic autoinflammatory disorder.
- FMF involves recurrent fever and serositis, with potential kidney complications like amyloidosis.
- Various glomerulopathies are rarely associated with FMF.
Observation:
- This report details the first documented case of membranous glomerulonephritis (MGM) in a patient with FMF.
- The patient experienced complete remission of MGM.
Findings:
- Membranous glomerulonephritis is a newly identified kidney manifestation in FMF.
- Colchicine treatment led to complete remission of the glomerulonephritis.
Implications:
- This finding expands the spectrum of kidney diseases associated with FMF.
- Colchicine may be an effective treatment for FMF-associated membranous glomerulonephritis.
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