Periodic fever compatible with familial Mediterranean fever.
Periodic fever compatible with familial Mediterranean fever.
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周期性发烧与家族性地中海热相一致。
DOI：
10.2169/internalmedicine.31.893
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发表时间：
1992
影响因子：
1.2
通讯作者：
Hideo Ikemoto
中科院分区：
文献类型：
--
作者：
Mayumi Takahashi;Tsukasa Ebe;T. Kohara;M. Inagaki;H. Isonuma;Ichiroh Hibiya;Takeshi Mori;Kazuyoshi Watanabe;Hideo Ikemoto
55岁男性，反复发热38℃以上，每月1-6次不规律出现，伴有胸、背或腹部疼痛。入院后发现以下特点：1)发热发作伴明显炎性表现，胸膜炎或腹膜炎；2)患者的姐姐有类似的周期性发烧；3)没有明显的致病因素导致他的症状。因此，我们将该病例诊断为家族性地中海热。每日服用秋水仙碱可完全抑制发热发作。这是日本报告的第七宗家族性地中海热病例。
A 55-year-old male presented with a recurrent fever of over 38 degrees 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.