Familial Mediterranean fever gene mutation frequencies and genotype-phenotype correlations in the Aegean region of Turkey

dc.contributor.authorOzalkaya, Elif
dc.contributor.authorMir, Sevgi
dc.contributor.authorSozeri, Betul
dc.contributor.authorBerdeli, Awg
dc.contributor.authorMutlubas, Fatma
dc.contributor.authorCura, Alphan
dc.date.accessioned2019-10-27T21:24:08Z
dc.date.available2019-10-27T21:24:08Z
dc.date.issued2011
dc.departmentEge Üniversitesien_US
dc.description.abstractFamilial Mediterranean fever (FMF) is a disease characterized by recurrent, self-limiting fever and serositis and caused by altered pyrin due to mutated MEFV gene. The aim of this study was to investigate clinical manifestations and MEFV mutations among patients with FMF and healthy controls in the Aegean region of Turkey. This study included 308 patients and 164 healthy controls. Patients were divided into three groups according to Tel-Hashomer criteria; definitive, probable, and suspicious. Among the patients, 146 were women (47.4%) and 162 were men (52.6%). The mean age (+/- SD) of the patients at the diagnosis was 9.6 +/- A 3.95 (range 0.5-18). The mean age (+/- SD) at onset of the symptom was 6.2 +/- A 3.95 (range 1-18). Symptoms were seen earlier onset in definitive group than the suspicious group in our cohort (4.7 +/- A 3.9 years, 6.6 +/- A 3.9 years, respectively; P = 0.001). Clinical features were abdominal pain (83.1%), fever (55%), arthritis (17.1%), myalgia (4.5%), pleuritis (10%), and erysipelas-like erythema (7.7%). Fever, arthralgia, arthritis, chest pain, and amyloidosis were found statistically significant more in definitive group than suspicious group (P < 0.001, P < 0.001, P < 0.001, P < 0.05, and P < 0.001, respectively). MEFV gene mutations were identified in 199 patients (64.6%). The most commonly encountered MEFV mutation among the patients was M694V homozygote (25%). M694V homozygous mutation was found most frequently in definitive FMF group than other groups (49, 9, 8.9%, respectively). To our knowledge that FMF should be suspected in the case of non-specific but recurrent attacks of serositis and high fever, and molecular analysis should be performed in order to make diagnosis of FMF.en_US
dc.identifier.doi10.1007/s00296-010-1383-8en_US
dc.identifier.endpage784en_US
dc.identifier.issn0172-8172
dc.identifier.issn1437-160X
dc.identifier.issue6en_US
dc.identifier.pmid20217092en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage779en_US
dc.identifier.urihttps://doi.org/10.1007/s00296-010-1383-8
dc.identifier.urihttps://hdl.handle.net/11454/44394
dc.identifier.volume31en_US
dc.identifier.wosWOS:000290989300013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofRheumatology Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAegean regionen_US
dc.subjectChildhooden_US
dc.subjectFamilial Mediterranean feveren_US
dc.subjectMEFV gene mutationen_US
dc.subjectPhenotype-genotype associationen_US
dc.titleFamilial Mediterranean fever gene mutation frequencies and genotype-phenotype correlations in the Aegean region of Turkeyen_US
dc.typeArticleen_US

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