Nichols E A, Reder R F
Am J Dis Child. 1978 Dec;132(12):1209-10. doi: 10.1001/archpedi.1978.02120370061014.
A case of familial Mediterranean fever in a young girl presented typical diagnostic dilemmas. Although intermittent proteinuria was noted, a rectal biopsy specimen failed to demonstrate the presence of amyloidosis. Treatment consisted of supportive therapy and colchicine, to which she responded. In a cosmopolitan population, familial Mediterranean fever should be considered in the differential diagnosis of fever of unknown origin.
一名年轻女孩的家族性地中海热病例呈现出典型的诊断难题。尽管发现了间歇性蛋白尿,但直肠活检标本未能显示淀粉样变性的存在。治疗包括支持性治疗和秋水仙碱,她对此有反应。在一个国际化的人群中,不明原因发热的鉴别诊断应考虑家族性地中海热。