Familial Mediterranean Fever With Complete Symptomatic Remission During Pregnancy

Kwang Taek Kim1, Hyun Joo Jang1, Jae Eun Lee1

  • 1Department of Internal Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.

Intestinal Research
|July 2, 2015
PubMed

Insights

Familial Mediterranean fever (FMF), an autoinflammatory disease, can present in adulthood. This case highlights complete symptom remission during pregnancy in a Korean woman with FMF, offering insights into disease management.

Area of Science:

  • Genetics
  • Immunology
  • Internal Medicine

Background:

  • Familial Mediterranean fever (FMF) is an inherited autoinflammatory disorder caused by MEFV gene mutations.
  • It is characterized by recurrent fever, serositis, and is prevalent in Mediterranean populations.
  • Adult-onset FMF is less common, and its presentation can vary.

Purpose of the Study:

  • To report a rare case of adult-onset FMF in a Korean female patient.
  • To describe the unique presentation of complete symptomatic remission during pregnancy.
  • To discuss the implications for understanding FMF pathogenesis and management.

Main Methods:

  • Clinical case presentation and patient history.
  • Diagnostic evaluation including abdominal imaging and surgical history.
  • MEFV gene mutation analysis.

Main Results:

  • The patient experienced recurrent episodes of fever, abdominal pain, and vomiting.
  • Complete symptomatic remission of FMF was observed during pregnancy.
  • MEFV gene analysis identified two point mutations: p.Leu110Pro and p.Glu148Gln.

Conclusions:

  • This case demonstrates adult-onset FMF with pregnancy-related remission in an East Asian patient.
  • The findings suggest potential hormonal influences on FMF activity during pregnancy.
  • Further research is needed to elucidate the mechanisms behind pregnancy-induced remission in FMF.

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