Clinical quiz: A pediatric case presenting with fever and diffuse myalgia
RHEUMATOLOGY INTERNATIONAL, cilt.25, sa.4, ss.314-316, 2005 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 4
- Basım Tarihi: 2005
- Doi Numarası: 10.1007/s00296-004-0530-5
- Dergi Adı: RHEUMATOLOGY INTERNATIONAL
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.314-316
- Anahtar Kelimeler: familial Mediterranean fever, myalgia, protracted febrile myalgia syndrome
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Familial Mediterranean fever (FMF) is a multisystem disease characterized by recurrent polyserositis episodes seen in certain ethnic groups. In recent years the clinical picture of FMF has been expanded and severe myalgia is a frequently recognized component of the syndrome. Protracted febrile myalgia syndrome (PFMS), characterized by severe paralyzing myalgia, high fever, abdominal pain, diarrhea, arthritis/arthralgia, and transient vasculitic rashes mimicking Henoch-Schonlein purpura, was first described in patients with FMF in 1994. We describe an 11-year-old Turkish girl with a second attack of PFMS before being diagnosed as having FMF, emphasizing the importance of myalgia for the diagnosis of FMF even in the absence of other symptoms.