Usluer Hale, Bircan Zelal
Department of Pediatric Nephrology, Kocaeli University Faculty of Medicine, 41380 Umuttepe, Kocaeli, Turkey.
Rheumatol Int. 2007 Sep;27(11):1083-5. doi: 10.1007/s00296-007-0329-2. Epub 2007 Mar 27.
In Familial Mediterranean Fever (FMF), arthritis is the initial symptom in 25% of patients. Although FMF arthritis is acute and self-limited, in 5% of cases protracted arthritis usually affecting large joints such as knee may occur. In this report, two cases are presented who were initially diagnosed as septic arthritis, first of which had four and the second had two synovectomy operations with the diagnosis of septic arthritis. Later on they were diagnosed as FMF with detailed history. We aimed to emphasize the importance of diagnosis of FMF, which is based mainly on history and clinical features in order to prevent unnecessary operations and suffering of the patient.
在家族性地中海热（FMF）中，关节炎是25%患者的初始症状。尽管FMF关节炎是急性且自限性的，但在5%的病例中可能会出现通常累及膝关节等大关节的迁延性关节炎。在本报告中，介绍了两例最初被诊断为化脓性关节炎的病例，第一例进行了4次滑膜切除术，第二例进行了2次滑膜切除术，均诊断为化脓性关节炎。后来通过详细询问病史，他们被诊断为FMF。我们旨在强调FMF诊断的重要性，其主要基于病史和临床特征，以避免不必要的手术和患者的痛苦。
