Familial Mediterranean fever in Romania: a case report and literature review

Familial Mediterranean Fever (FMF) is a hereditary autoinflammatory disease characterized by recurrent fever and systemic inflammation, most prevalent in Eastern Mediterranean populations. Rare in regions like Romania, FMF presents diagnostic challenges and risks severe complications if untreated. W...

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Main Authors: Alin Iuhas, Cristian Marinău, Larisa Niulaș, Zsolt Futaki, Andreea Balmoș, Kinga Kozma, Mirela Indrieș, Cristian Sava
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2024.1546387/full
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author Alin Iuhas
Alin Iuhas
Cristian Marinău
Cristian Marinău
Larisa Niulaș
Larisa Niulaș
Zsolt Futaki
Andreea Balmoș
Andreea Balmoș
Kinga Kozma
Kinga Kozma
Mirela Indrieș
Mirela Indrieș
Cristian Sava
Cristian Sava
author_facet Alin Iuhas
Alin Iuhas
Cristian Marinău
Cristian Marinău
Larisa Niulaș
Larisa Niulaș
Zsolt Futaki
Andreea Balmoș
Andreea Balmoș
Kinga Kozma
Kinga Kozma
Mirela Indrieș
Mirela Indrieș
Cristian Sava
Cristian Sava
author_sort Alin Iuhas
collection DOAJ
description Familial Mediterranean Fever (FMF) is a hereditary autoinflammatory disease characterized by recurrent fever and systemic inflammation, most prevalent in Eastern Mediterranean populations. Rare in regions like Romania, FMF presents diagnostic challenges and risks severe complications if untreated. We report a 7-year-old Romanian girl, from a non-classical ethnic background, with recurrent febrile episodes and elevated inflammatory markers. Genetic testing confirmed a homozygous MEFV c.2082G>A (p.Met694Ile) variant. Colchicine therapy reduced flare frequency and normalized inflammatory markers. FMF should be considered in atypical populations with recurrent inflammation. Genetic testing aids diagnosis in non-endemic regions, enabling early colchicine treatment to prevent complications.
format Article
id doaj-art-2d872a93362c4708bb4b6f933da17c04
institution Kabale University
issn 2296-2360
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj-art-2d872a93362c4708bb4b6f933da17c042025-01-15T06:10:46ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.15463871546387Familial Mediterranean fever in Romania: a case report and literature reviewAlin Iuhas0Alin Iuhas1Cristian Marinău2Cristian Marinău3Larisa Niulaș4Larisa Niulaș5Zsolt Futaki6Andreea Balmoș7Andreea Balmoș8Kinga Kozma9Kinga Kozma10Mirela Indrieș11Mirela Indrieș12Cristian Sava13Cristian Sava14Faculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, Oradea, RomaniaBihor County Clinical Emergency Hospital, Oradea, RomaniaFamilial Mediterranean Fever (FMF) is a hereditary autoinflammatory disease characterized by recurrent fever and systemic inflammation, most prevalent in Eastern Mediterranean populations. Rare in regions like Romania, FMF presents diagnostic challenges and risks severe complications if untreated. We report a 7-year-old Romanian girl, from a non-classical ethnic background, with recurrent febrile episodes and elevated inflammatory markers. Genetic testing confirmed a homozygous MEFV c.2082G>A (p.Met694Ile) variant. Colchicine therapy reduced flare frequency and normalized inflammatory markers. FMF should be considered in atypical populations with recurrent inflammation. Genetic testing aids diagnosis in non-endemic regions, enabling early colchicine treatment to prevent complications.https://www.frontiersin.org/articles/10.3389/fped.2024.1546387/fullfamilial Mediterranean feverRomaniaautoinflammatory diseaserecurrent feverFMF
spellingShingle Alin Iuhas
Alin Iuhas
Cristian Marinău
Cristian Marinău
Larisa Niulaș
Larisa Niulaș
Zsolt Futaki
Andreea Balmoș
Andreea Balmoș
Kinga Kozma
Kinga Kozma
Mirela Indrieș
Mirela Indrieș
Cristian Sava
Cristian Sava
Familial Mediterranean fever in Romania: a case report and literature review
Frontiers in Pediatrics
familial Mediterranean fever
Romania
autoinflammatory disease
recurrent fever
FMF
title Familial Mediterranean fever in Romania: a case report and literature review
title_full Familial Mediterranean fever in Romania: a case report and literature review
title_fullStr Familial Mediterranean fever in Romania: a case report and literature review
title_full_unstemmed Familial Mediterranean fever in Romania: a case report and literature review
title_short Familial Mediterranean fever in Romania: a case report and literature review
title_sort familial mediterranean fever in romania a case report and literature review
topic familial Mediterranean fever
Romania
autoinflammatory disease
recurrent fever
FMF
url https://www.frontiersin.org/articles/10.3389/fped.2024.1546387/full
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