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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2014, Number 2

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An Med Asoc Med Hosp ABC 2014; 59 (2)

Chest pain and dyspnea as initial manifestations of Mediterranean familial fever: A case report

Moreno CMC, Gómez RP, Juárez VMÁ, Halabe CJ

Language: Spanish
References: 22
Page: 148-152
PDF size: 220.72 Kb.


ABSTRACT

Familial Mediterranean fever is an autosomal recessive disorder belonging to autoinflammatory syndromes. It is characterized by periodic fever, serositis, arthritis and skin manifestations. AA amyloidosis is the most important long-term complication, causing chronic renal failure. The cornerstone of treatment is colchicine. Due to a low prevalence of this disease in our country, we present the case of a patient who presented himself with dyspnea during mild exertion, chest pain, fever and history of abdominal pain during the past three months. After being admitted for further evaluation and treatment, the diagnosis for familial Mediterranean fever was made, and it was confirmed by genetic studies that showed a MEFV gene mutation V726A. This disease should be considered as a differential diagnosis in all patients with ancestry at risk, due to the effectiveness and accessibility of treatment.


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