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Increased psoriasis frequency in patients with familial Mediterranean fever
Abdulsamet Erden1, Ezgi Deniz Batu2, Emrah Seyhoğlu3
1a Division of Rheumatology, Department of Internal Medicine , Hacettepe University Faculty of Medicine , Ankara , Turkey.
Objective:
Familial Mediterranean fever (FMF) is a periodic fever syndrome caused by MEFV mutations. FMF may be associated with psoriasis in some cases. The prevalence of psoriasis in the normal Turkish population is 0.42%. We aimed to investigate the prevalence of psoriasis among FMF patients and their relatives.
Methods:
FMF patients followed at Hacettepe University Adult and Pediatric Rheumatology Departments between January and August 2016 were included. FMF patients/their relatives were accepted to have psoriasis if the diagnosis was made by a dermatologist.
Results:
A total of 351 FMF patients (177 adults; 174 children) were included. The median (min-max) age of adult and pediatric patients was 35 (19-63) and 10 (2-18) years, respectively. Thirteen (3.7%) FMF patients (11 adults, 2 children) had psoriasis. Psoriasis was more common in adult than pediatric patients (p = 0.02). Psoriasis was present in 22 (12.4%) of adult and 9 (5.2%) of pediatric patients' relatives (p = 0.023). The frequency of psoriasis in ≥1 relatives of FMF patients was found to be 8.8%. Abdominal pain and fever were significantly higher, and arthralgia, arthritis, pleural chest pain, and pericarditis were significantly less frequent in the pediatric group than in adults (p < 0.05).
Conclusion:
Psoriasis was more common in FMF patients than in the normal population. Thus, FMF patients should be questioned and carefully examined for psoriasis lesions and psoriasis family history. Prospective multicenter studies may be important to find the incidence of psoriasis in FMF.
Insights
Psoriasis is more common in patients with Familial Mediterranean fever (FMF) than in the general population. Clinicians should screen FMF patients for psoriasis and inquire about family history of the condition.
Area of Science:
- Rheumatology
- Dermatology
- Genetics
Background:
- Familial Mediterranean fever (FMF) is a genetic autoinflammatory disease characterized by recurrent episodes of fever and inflammation.
- FMF is caused by mutations in the MEFV gene.
- A potential association between FMF and psoriasis has been observed in some individuals.
Purpose of the Study:
- To determine the prevalence of psoriasis among patients diagnosed with Familial Mediterranean fever (FMF).
- To compare the prevalence of psoriasis in FMF patients and their relatives against the general population.
- To investigate potential correlations between FMF and psoriasis in a specific cohort.
Main Methods:
- A cohort of 351 FMF patients (177 adults, 174 children) was evaluated.
- Psoriasis diagnosis in FMF patients and their relatives was confirmed by a dermatologist.
- Data collection occurred between January and August 2016 at Hacettepe University Rheumatology Departments.
Main Results:
- Psoriasis was diagnosed in 3.7% of FMF patients, a higher prevalence than the 0.42% in the general Turkish population.
- Psoriasis was more frequent in adult FMF patients (11/177) compared to pediatric patients (2/174).
- The prevalence of psoriasis among relatives of FMF patients was 12.4% in adults and 5.2% in children, with 8.8% of families having at least one member with psoriasis.
Conclusions:
- Psoriasis occurs more frequently in individuals with FMF than in the general population.
- Healthcare providers should actively screen FMF patients for psoriasis and assess their family history.
- Further prospective, multicenter studies are recommended to establish the incidence of psoriasis in FMF patients.
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