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Published on: July 14, 2016
Familial Mediterranean fever with onset at 66 years of age
Keita Inoue1, Kazuhiro Torii, Aya Yoda
1Department of General Medicine, Nagasaki University School of Medicine, Japan. inoway77@gmail.com
Abstract:
The patient was a 68-year-old woman who had experienced recurrent febrile episodes since 66 years of age. Despite various examinations and treatments, the etiology remained unclear. Further examinations following another referral failed to uncover the cause. Therefore, despite her age, it was presumed that she had familial Mediterranean fever. An analysis of the familial Mediterranean fever (MEFV) gene detected heterozygous L110P, E148Q, and R202Q mutations. No further febrile episodes occurred after colchicine treatment was initiated. Familial Mediterranean fever presenting in patients in their sixties is extremely rare.
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