Zemer D, Cabili S, Revach M, Shahin N
Isr J Med Sci. 1977 Jan;13(1):55-8.
Fibrosing peritonitis and constrictive pericarditis occurred in an 18-year-old patient who manifested the classic features of familial Mediterranean fever (FMF). Pericardial calcification had been present in chest X-rays taken when the patient was five years old. Intermittent intestinal obstruction and congestive heart failure were relieved by appropriate surgical intervention, but attacks of FMF subsided only after colchicine therapy. This is the first instance of nonuremic pericarditis in our experience with over 1,000 FMF patients. Critical analysis of the reported cases in which pericarditis was attributed to FMF strengthens our belief that the occurrence of pericarditis in a patient with FMF probably represents a fortuitous intercurrent disease.
一名18岁患者出现纤维性腹膜炎和缩窄性心包炎，该患者表现出家族性地中海热（FMF）的典型特征。患者5岁时胸部X光片显示有心包钙化。间歇性肠梗阻和充血性心力衰竭通过适当的手术干预得到缓解，但FMF发作仅在秋水仙碱治疗后才消退。在我们诊治的1000多名FMF患者中，这是首例非尿毒症性心包炎。对报告的将心包炎归因于FMF的病例进行批判性分析，强化了我们的信念，即FMF患者发生心包炎可能是一种偶然的并发疾病。
