A case of late diagnosis of familial Mediterranean fever in a compound-heterozygous patient
https://doi.org/10.47360/1995-4484-2025-648-651
Abstract
A clinical case of familial Mediterranean fever (FMF) in an adult patient of Armenian nationality is presented. In this case, the diagnosis was established only 9 years after the onset of clinical symptoms and confirmed by genetic testing, which revealed compound heterozygosity for the MEFV gene. The administration of colchicine at a dose of 1 mg per day completely eliminated the clinical manifestations of the disease. Observation confirms the need for caution regarding the development of FMF in representatives of vulnerable ethnic groups, even not in the regions of their compact residence.
About the Authors
N. L. TovRussian Federation
Nikita L. Tov
630091, Novosibirsk, Krasny avenue, 52
Competing Interests:
none
I. N. Grigorieva
Russian Federation
Irina N. Grigorieva
630089, Novosibirsk, Borisa Bogatkova str., 175/1
Competing Interests:
none
O. I. Dorovskaya
Russian Federation
Olga I. Dorovskaya
630087, Novosibirsk, NemirovichaDanchenko str., 130
Competing Interests:
none
K. A. Brezhneva
Russian Federation
Kristina A. Brezhneva
630087, Novosibirsk, NemirovichaDanchenko str., 130
Competing Interests:
none
E. A. Movchan
Russian Federation
Elena A. Movchan
630091, Novosibirsk, Krasny avenue, 52
Competing Interests:
none
E. N. Berezikova
Russian Federation
Ekaterina N. Berezikova
630091, Novosibirsk, Krasny avenue, 52
Competing Interests:
none
References
1. Resolution of the Scientific Advisory Board: Unresolved issues of familial Mediterranean fever in Russia. Nauchno-Prakticheskaya Revmatologia = Rheumatology Science and Practice. 2021;59(1):111-114 (In Russ.).
2. Babaeva AR, Kalinina EV. Current clinical aspects of familial Mediterranean fever. Medical Alphabet. 2023;(31):8-14 (In Russ). doi: 10.33667/2078-5631-2023-31-8-14
3. Rameev VV, Simonyan AKh, Bogdanova MV, Lysenko LV, Moiseev SV. Familial Mediterranean fever: Diagnosis and treatment. Clinical Pharmacology and Therapy. 2020;29(2):56-67 (In Russ.). doi: 10.32756/0869-5490-2020-2-56-67
4. The International FMF Consortium Ancient missense mutations in a new member of the RoRet gene family are likely to cause familial Mediterranean fever. Cell. 1997;90:797-807. doi: 10.1016/s0092-8674(00)80539-5
5. Ozen S, Sağ E, Oton T, Gül A, Sieiro Santos C, Bayraktar D, et al. EULAR/PReS endorsed recommendations for the management of familial Mediterranean fever (FMF): 2024 update. Ann Rheum Dis. 2025;84(6):899-909. doi: 10.1016/j.ard.2025.01.028
6. Romano M, Piskin D, Kul Cinar O, Sag E. Familial Mediterranean fever; recent advances, future prospectives. Diagnostics (Basel). 2025;15(7):813-837. doi: 10.3390/diagnostics15070813
7. An J, Marwaha A, Laxer RM. Autoinflammatory diseases: A review. J Rheumatol. 2024;51(9):848-861. doi: 10.3899/jrheum.2023-1209
8. Ben-Chetrit E. Old paradigms and new concepts in familial Mediterranean fever (FMF): An update 2023. Rheumatology (Oxford). 2024;63(2):309-318. doi: 10.1093/rheumatology/kead439
9. Park YH, Remmers EF, Lee W, Ombrello AK, Chung LK, Shilei Z, et al. Ancient familial Mediterranean fever mutations in human pyrin and resistance to Yersinia pestis. Nat Immunol. 2020;21(8):857-867. doi: 10.1038/s41590-020-0705-6
10. Livneh A, Langevitz P, Zemer D, Zaks N, Kees S, Lidar T, et al. Criteria for the diagnosis of familial Mediterranean fever. Arthritis Rheum. 1997;40(10):1879-1885. doi: 10.1002/art.1780401023
11. Yalçinkaya F, Ozen S, Ozçakar ZB, Aktay N, Cakar N, Düzova A, et al. A new set of criteria for the diagnosis of familial Mediterranean fever in childhood. Rheumatology (Oxford). 2009;48(4):395-398. doi: 10.1093/rheumatology/ken509
12. Gattorno M, Hofer M, Federici S, Vanoni F, Bovis F, Aksentijevich I, et al.; Eurofever Registry and the Paediatric Rheumatology International Trials Organisation (PRINTO). Classification criteria for autoinflammatory recurrent fevers. Ann Rheum Dis. 2019;78(8):1025-1032. doi: 10.1136/annrheumdis-2019-215048
13. Lancieri M, Bustaffa M, Palmeri S, Prigione I, Penco F, Papa R, et al. An update on familial Mediterranean fever. Int J Mol Sci. 2023;24(11):9584. doi: 10.3390/ijms24119584
14. Muscari I, Iacoponi F, Cantarini L, Lucherini OM, Simonini G, Brizi MG, et al. The diagnostic evaluation of patients with potential adult-onset autoinflammatory disorders: Our experience and review of the literature. Autoimmun Rev. 2012;12(1):10-13. doi: 10.1016/j.autrev.2012.07.015
15. Nasonov EL, Drapkina OM. Colchicine: Repositioning an “ancient” medicine in the 21st century. Nauchno-Prakticheskaya Revmatologia = Rheumatology Science and Practice. 2024;62(5):445-464 (In Russ.). doi: 10.47360/1995-4484-2024-445-464
16. Parentelli AS, Lopes AA, Fellahi S, Savey L, Bastard JP, GeorginLavialle S. C-reactive protein is more suitable than serum amyloid A to monitor crises and attack-free periods in systemic autoinflammatory diseases. Eur J Intern Med. 2024;127:91-96. doi: 10.1016/j.ejim.2024.04.024
Review
For citations:
Tov N.L., Grigorieva I.N., Dorovskaya O.I., Brezhneva K.A., Movchan E.A., Berezikova E.N. A case of late diagnosis of familial Mediterranean fever in a compound-heterozygous patient. Rheumatology Science and Practice. 2025;63(6):648-651. (In Russ.) https://doi.org/10.47360/1995-4484-2025-648-651
































