Periodic Fever Compatible with Familial Mediterranean Fever.

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A 55-year-old male presented with a recurrent fever of over 38°C, occurring at irregular intervals 1-6 times a month with chest, back or abdominal pain. After admission to our hospital, we found the following characteristics : 1) the febrile attacks were accompanied by obvious inflammatory findings and pleuritis or peritonitis ; 2) the patient's elder sister had a similar periodic fever ; and 3) there were no apparent causative factors responsible for his symptoms. Therefore, we diagnosed this as a case compatible with familial Mediterranean fever. The febrile attacks have been completely suppressed by daily colchicine. This is the seventh case of familial Mediterranean fever reported in Japan.(Internal Medicine 31 : 893-898, 1992)
社団法人　日本内科学会の論文