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家族性地中海热:外科急腹症的鉴别诊断

Familial Mediterranean fever: a differential diagnosis for the surgical abdomen.

作者信息

Cliff-Patel Nikita, Yusuf Baasil Syed, Hamdani Shazia, Ziauddin Veqas

机构信息

East Surrey Hospital, Redhill, UK.

Royal London Hospital, London, UK.

出版信息

JRSM Open. 2022 Sep 1;13(9):20542704221123433. doi: 10.1177/20542704221123433. eCollection 2022 Sep.

DOI:10.1177/20542704221123433
PMID:36082189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9445484/
Abstract

FMF is characterised by dysregulation of the inflammatory process in the body, presenting as recurrent episodes of serositis. Patients with FMF commonly present with episodes of fever, peritonitis, synovitis, pleuritis, arthritis, and occasionally pericarditis. We present a case of a young 19-year old female, who presented to hospital four times over several months with intermittent fevers, abdominal pain and pleuritic chest pain. After being initially admitted under the surgical team, she was reviewed by the medical team who referred her for genetic testing, which subsequently confirmed the diagnosis. She was started on colchicine, and her symptoms remain well controlled one-year post diagnosis.

摘要

家族性地中海热(FMF)的特征是体内炎症过程失调,表现为反复发作的浆膜炎。FMF患者通常会出现发热、腹膜炎、滑膜炎、胸膜炎、关节炎等症状,偶尔还会出现心包炎。我们报告了一例19岁年轻女性病例,该患者在几个月内四次因间歇性发热、腹痛和胸膜炎性胸痛入院。最初由外科团队收治后,医学团队对其进行了复查,并将她转诊进行基因检测,随后确诊。她开始服用秋水仙碱,确诊一年后症状仍得到良好控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ab/9445484/ff097bcd4532/10.1177_20542704221123433-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ab/9445484/ff097bcd4532/10.1177_20542704221123433-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ab/9445484/ff097bcd4532/10.1177_20542704221123433-fig1.jpg

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Rheumatology (Oxford). 2020 Mar 1;59(3):554-558. doi: 10.1093/rheumatology/kez334.
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Chronic inflammation in adult familial Mediterranean fever patients: underlying causes and association with amyloidosis.成年家族性地中海热患者的慢性炎症:潜在病因及其与淀粉样变性的关系。
Scand J Rheumatol. 2019 Jul;48(4):315-319. doi: 10.1080/03009742.2018.1558282. Epub 2019 Feb 21.
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IL1-blocking therapy in colchicine-resistant familial Mediterranean fever.
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Use of colchicine in pregnancy: a systematic review and meta-analysis.妊娠期秋水仙碱的应用:系统评价和荟萃分析。
Rheumatology (Oxford). 2018 Feb 1;57(2):382-387. doi: 10.1093/rheumatology/kex353.
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EULAR recommendations for the management of familial Mediterranean fever.欧洲抗风湿病联盟家族性地中海热管理建议。
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