Challenges in diagnosing familial Mediterranean fever: exploring atypical clinical features. Clinical case

Pub Date : 2024-07-07 DOI:10.26442/00403660.2024.06.202730
M. V. Barsuk, Alexander V. Novikov, Tamara A. Mikhalina, V. Rameev, Lidia V. Lysenko
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Abstract

This clinical case series presents descriptions of 3 patients with familial Mediterranean fever (FMF) who have atypical manifestations and abnormal inheritance mechanisms in terms of Gregor Mendel's laws. Although molecular genetic testing can help with disease diagnosis, it is not always conclusive. The primary need for genetic testing in atypical cases is to explain the mechanism of inflammation and to select the optimal therapy. These clinical observations demonstrate the changes in the spectrum of phenotypic manifestations of FMF in the context of the widespread introduction of molecular genetic methods.
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诊断家族性地中海热的挑战:探索非典型临床特征。临床病例
这组临床病例描述了 3 位家族性地中海热(FMF)患者的非典型表现和格雷戈尔-孟德尔定律的异常遗传机制。尽管分子基因检测有助于疾病诊断,但并不总能得出结论。对非典型病例进行基因检测的主要目的是解释炎症机制和选择最佳疗法。这些临床观察结果表明,在广泛采用分子遗传学方法的背景下,FMF 的表型表现谱发生了变化。
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