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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. Tov
Novosibirsk State Medical University
Russian Federation

Nikita L. Tov

630091, Novosibirsk, Krasny avenue, 52


Competing Interests:

none



I. N. Grigorieva
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences
Russian Federation

Irina N. Grigorieva

630089, Novosibirsk, Borisa Bogatkova str., 175/1


Competing Interests:

none



O. I. Dorovskaya
State Novosibirsk Regional Clinical Hospital
Russian Federation

Olga I. Dorovskaya

630087, Novosibirsk, NemirovichaDanchenko str., 130


Competing Interests:

none



K. A. Brezhneva
State Novosibirsk Regional Clinical Hospital
Russian Federation

Kristina A. Brezhneva

630087, Novosibirsk, NemirovichaDanchenko str., 130


Competing Interests:

none



E. A. Movchan
Novosibirsk State Medical University
Russian Federation

Elena A. Movchan

630091, Novosibirsk, Krasny avenue, 52


Competing Interests:

none



E. N. Berezikova
Novosibirsk State Medical University
Russian Federation

Ekaterina N. Berezikova

630091, Novosibirsk, Krasny avenue, 52


Competing Interests:

none



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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

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ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)