A new set of criteria for the diagnosis of familial Mediterranean fever in childhood

作者: Fatoş Yalçınkaya , Seza Özen , Zeynep Birsin Özçakar , Nuray Aktay , Nilgün Çakar

DOI: 10.1093/RHEUMATOLOGY/KEN509

关键词:

摘要: Objectives. Several sets of criteria mainly for adults have been proposed the diagnosis FMF. The aim present study is to validate most widely used diagnostic ‘Tel Hashomer’ in children and establish a new set use childhood. Methods. group consisted 170 recently diagnosed FMF patients who had mutations at both alleles. They were interviewed about presence 35 features manifestations time diagnosis. Controls consecutive without (n ¼ 141) episodes fever clinical mimicking that performance candidate was assessed by multiple logistic regression analysis. Results. sensitivity specificity Tel Hashomer our 98.8 54.6%, respectively. analysis showed 5 (fever, abdominal pain, chest arthritis family history FMF) discriminate from controls with 88.8 92.2%, two or more these five 86.5% 93.6%. Conclusion. It demonstrated although successful diagnosing childhood, its definitely low children. has high practical on an everyday basis.

参考文章(24)
P. Manners, J. Orozco-Alcala, T. R. Southwood, D. N. Glass, J. Baum, R. E. Petty, M. Suarez-Almazor, J. Maldonado-Cocco, A. M. Prieur, E. Bhettay, Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, 1997. The Journal of Rheumatology. ,vol. 25, pp. 1991- 1994 ,(1998)
Ezra Sohar, Joseph Gafni, Mordehai Pras, Harry Heller, Familial Mediterranean fever. A survey of 470 cases and review of the literature The American Journal of Medicine. ,vol. 43, pp. 227- 253 ,(1967) , 10.1016/0002-9343(67)90167-2
Ergül Tunçbilek, İsmet Koç, Consanguineous marriage in Turkey and its impact on fertility and mortality Annals of Human Genetics. ,vol. 58, pp. 321- 329 ,(1994) , 10.1111/J.1469-1809.1994.TB00729.X
Nejat Akar, M�ge Misiroglu, Fatos Yalcinkaya, Ece Akar, Nilg�n Cakar, Necmiye T�mer, Mustafa Akcakus, Hakki Tastan, Yaacov Matzner, MEFV mutations in Turkish patients suffering from familial Mediterranean fever Human Mutation. ,vol. 15, pp. 118- 119 ,(2000) , 10.1002/(SICI)1098-1004(200001)15:1<118::AID-HUMU29>3.0.CO;2-5
John A. Mills, Beat A. Michel, Daniel A. Bloch, Leonard H. Calabrese, Gene G. Hunder, William P. Arend, Steven M. Edworthy, Anthony S. Fauci, Randi Y. Leavitt, J. T. Lie, Robert W. Lightfoot, Alfonse T. Masi, Dennis J. McShane, Mary Betty Stevens, Stanley L. Wallace, Nathan J. Zvaifler, The American College of Rheumatology 1990 criteria for the classification of henoch‐schönlein purpura Arthritis & Rheumatism. ,vol. 33, pp. 1114- 1121 ,(2010) , 10.1002/ART.1780330809
Ernest N. Ehrenfeld, Marcel Eliakim, Moshe Rachmilewitz, Recurrent polyserositis: Familial Mediterranean fever, periodic disease ,(1981)
Kenneth Tyson Thomas, Henry M. Feder, Alexander R. Lawton, Kathryn M. Edwards, Periodic fever syndrome in children. The Journal of Pediatrics. ,vol. 135, pp. 15- 21 ,(1999) , 10.1016/S0022-3476(99)70321-5
Maxime Dougados, Sjef Van Der Linden, Roger Juhlin, Bernhard Huitfeldt, Bernard Amor, Andrei Calin, Arnold Cats, Ben Dijkmans, Ignazio Olivieri, Giampiero Pasero, Eric Veys, Henning Zeidler, , The European spondylarthropathy study group preliminary criteria for the classification of spondylarthropathy Arthritis & Rheumatism. ,vol. 34, pp. 1218- 1227 ,(1991) , 10.1002/ART.1780341003