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Familial Mediterranean fever in the "Chuetas" of Mallorca--origin in inquisition?
J Buades1, E Ben-Chetrit, M Levy
1Division of Medicine, Hospital Joan March, Mallorca, Spain.
Abstract:
The aim of our study was to compare the features of familial Mediterranean fever (FMF) in Mallorcan "Chuetas" with those in non-Ashkenazi Jews in Israel. The clinical and laboratory data of FMF were evaluated in a recently identified cluster of 50 FMF patients from Mallorca (the Chuetas) and 45 patients from Israel. We found that the prevalence and clinical manifestations of FMF were similar among the Chuetas and the Israeli group. Furthermore, in contrast to other ethnic groups with FMF, joint involvement was quite common in both the Chuetas (70%) and the Israeli group (75%). The Chuetas are descendants of Mallorcan Jews who emigrated from Spain to the island in the 12th century. The non-Ashkenazi Jews originated mainly in North Africa and are descendants of refugees who escaped from Spain as a result of the Inquisition in the 15th century. We suggest that the non-Ashkenazi Jews and the Chuetas may have a common gene defect for FMF.
Insights
Familial Mediterranean fever (FMF) presents similarly in Mallorcan Chuetas and Israeli non-Ashkenazi Jews. Both groups commonly experience joint involvement, suggesting a potential shared genetic defect for FMF.
Area of Science:
- Genetics
- Rheumatology
- Population Health
Background:
- Familial Mediterranean fever (FMF) is a genetic autoinflammatory disorder.
- Previous studies have documented FMF prevalence and characteristics in various ethnic groups.
Purpose of the Study:
- To compare the clinical and laboratory features of FMF in Mallorcan Chuetas and non-Ashkenazi Jews in Israel.
- To investigate potential shared genetic origins for FMF in these distinct populations.
Main Methods:
- Retrospective analysis of clinical and laboratory data from 50 FMF patients (Chuetas) in Mallorca and 45 FMF patients (non-Ashkenazi Jews) in Israel.
- Comparison of disease prevalence, clinical manifestations, and laboratory findings between the two groups.
Main Results:
- FMF prevalence and clinical manifestations were similar between the Chuetas and the Israeli non-Ashkenazi Jewish group.
- Joint involvement was a common feature in both groups, observed in 70% of Chuetas and 75% of Israelis.
- This contrasts with the lower prevalence of joint involvement in other ethnic groups with FMF.
Conclusions:
- The Mallorcan Chuetas and Israeli non-Ashkenazi Jews exhibit similar FMF characteristics, including a high rate of joint involvement.
- A common gene defect for FMF may exist between these two populations, potentially linked to their shared Spanish ancestry.
- Further genetic studies are warranted to confirm the shared genetic basis of FMF in these groups.
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