Familial Mediterranean fever: What associations to screen for?
Salem Bouomrani1,2, Ines Masmoudi1,2, Sawssan Ben Teber1,2
1Sfax Faculty of Medicine, University of Sfax, Tunisia.
Abstract:
Familial Mediterranean fever (FMF) is the most common and best known of hereditary recurrent fever or periodic fever syndromes. It was described in 1945 and genetically characterized in 1992. It is caused by a point mutation in the MEFV gene located on the short arm of chromosome 16. It is particularly frequent among Sephardic Jews, Armenians, Turks and Middle Eastern Arabs, where the prevalence can reach 1/2000 to 1/1000. Recent publications described its frequent association with other diseases and/or syndromes, particularly those of autoimmune, genetic, and autoinflammatory origin. The objective of this review is to familiarize healthcare professionals with the main associations to look for in patients followed for FMF. The early detection of these associations makes it possible to improve the management and the prognosis of patients with FMF.
Insights
Familial Mediterranean fever (FMF), a common genetic autoinflammatory disorder, is frequently linked with other autoimmune and genetic conditions. Early detection of these associations improves patient management and outcomes.
Area of Science:
- Genetics
- Immunology
- Internal Medicine
Background:
- Familial Mediterranean fever (FMF) is the most prevalent hereditary recurrent fever syndrome.
- Genetically characterized in 1992, FMF results from MEFV gene mutations.
- Prevalence is high in specific populations, including Sephardic Jews, Armenians, Turks, and Middle Eastern Arabs.
Purpose of the Study:
- To review the common associations of FMF with other diseases.
- To inform healthcare professionals about conditions frequently co-occurring with FMF.
- To emphasize the importance of early detection for improved patient care.
Main Methods:
- Literature review of recent publications on FMF associations.
- Synthesis of information on autoimmune, genetic, and autoinflammatory conditions linked to FMF.
- Focus on clinical relevance for healthcare professionals.
Main Results:
- FMF is often associated with other autoimmune, genetic, and autoinflammatory diseases.
- Identification of specific co-occurring conditions is crucial for comprehensive patient assessment.
- Early recognition of these associations impacts treatment strategies.
Conclusions:
- Healthcare professionals managing FMF patients should be aware of potential associated conditions.
- Screening for associated diseases can lead to better patient outcomes.
- Understanding FMF comorbidities enhances the overall management of the disorder.
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