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Clinical and Demographic Evaluation According to MEFV Genes in Patients with Familial Mediterranean Fever

机译:根据家族地中海发烧患者MEFV基因的临床和人口统计学评价

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The present study examined the relationship between clinical findings and mutation analyses in children with Familial Mediterranean Fever (FMF) in the inner Black Sea region of Turkey. This retrospective, cross-sectional study included patients with FMF who were evaluated between 2007 and 2015. FMF was diagnosed according to the Tel Hashomer criteria. FMF mutations were analyzed using a Real-time PCR System (Roche Diagnostics, Mannheim, Germany), and patients were classified into three groups according to allele status. The most common symptom was abdominal pain (99%, n=197). The most frequent mutations were M694V and R202Q. Chest pain was reported more often in patients homozygous for M694V (61.4%). Although fever, abdominal pain, and arthritis were more commonly observed with the M694V mutation, chest pain was the most common symptom in R202Q carriers (n=10, 32.3%). Proteinuria was observed in 42 (21.2%) patients, frequently accompanied by the M694V mutation (28.6%). The most common mutations in children with FMF in Turkey were M694V and R202Q. Recurrent abdominal pain and arthritis/arthralgia were commonly observed in patients with M694V and R202Q mutations. Moreover, chest pain was commonly seen with the R202Q mutation. Thus, R202Q might be a disease-causing mutation in FMF patients.
机译:本研究检测了土耳其内黑海地区家族地中海热(FMF)临床发现与突变分析的关系。这种回顾性的横截面研究包括在2007年至2015年间评估的FMF患者。根据TEL HASHOMER标准诊断FMF。使用实时PCR系统(Roche Diagnostics,Mannheim,Germany)分析FMF突变,并且根据等位基因状态分为三组。最常见的症状是腹痛(99%,n = 197)。最常见的突变是M694V和R202Q。 M694V纯合(61.4%)的患者患者更常见胸痛。虽然用M694V突变更常见的发烧,腹痛和关节炎,但胸痛是R202Q载体中最常见的症状(n = 10,32.3%)。在42例(21.2%)患者中观察到蛋白尿,经常伴有M694V突变(28.6%)。土耳其FMF的儿童中最常见的突变是M694V和R202Q。在M694V和R202Q突变患者中通常观察到复发性腹痛和关节炎/关节痛。此外,胸部疼痛常见于R202Q突变。因此,R202Q可能是FMF患者的疾病突变。

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