MEHMET SARGIN, Hale BORAZAN, GÜLÇİN HACIBEYOĞLU, Şeref OTELCİOĞLU

Ailevi akdeniz ateşi ve çölyak hastalığı birlikteliğinde anestezi deneyimimiz

Ailevi Akdeniz Ateşi, akdeniz orjinli toplumlarda sık görü- len, inflamasyon kontrolünde bozulma ile seyreden otozomal resesif geçişli bir hastalıktır. Çölyak hastalığı duyarlı kişilerde otoimmün mekanizmalar ile glutene karşı intolerans olarak gelişen, proksimal ince barsak hastalığıdır. Ailevi Akdeniz Ateşi ile Çölyak hastalığının birlikteliği nadirdir. Bu makalede Ailevi Akdeniz Ateşi ile Çölyak hastalığı birlikte bulunan bilateral septik artritli bir vakadaki anestezi deneyimimiz sunulmuştur.

Anesthesia experience along with familial Mediterranean fever and celiac disease

(Anesthetic management in patient with Familial Mediterranean Fever and Celiac Disease) Familial Mediterranean Fever is an autosomal recessive transmitted disease which often seen at Mediterranean origin society and it goes by deterioration at inflammation control. Celiac disease is a proximal small intestine disease which develops gluten intolerance by autoimmune mechanism in sensitive people. Association of Familial Mediterranean Fever and Celiac disease is a rare situation. In this article we present our anesthesia experience on a bilateral septic arthritis case who also have Familial Mediterranean Fever and Celiac disease association.

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1. Pras M. Familian Mediterranean fever: from the clinical syndrome to the cloning of the pyrin gene. Scand J Rheumatol 1998;27:92-97.
2. Özalp D, Yılmaz Ö, Söğüt A, Yüksel H. Ailevi Akdeniz Ate- şi ile birliktelik gösteren Juvenil Ankilozan Spondilitli bir olgu. Dicle Med J 2010;37:397-400.
3. Mor A, Mekori YA , Livneh A. Familial Mediterranean fever and Celiac sprue Are they related? Clin Exp Rheumatol 2004;22:82.
4. Kuloğlu Z, Kansu A, Tutar E, et al. Association of familial Mediterranean fever and celiac disease in a 14-year-old girl with recurrent arthritis. Clin Exp Rheumatol 2008;26:131.
5. Rostami K, Malekzadeh R, Shahbazkhani B, et al. Coeliac disease in Middle Eastern countries: a challenge for the evolutionary history of this complex disorder? Dig Liver Dis 2004;36:694-697.
6. The İnternational FMF Consortium. Ancient missense mutations in a new nember of the RoRet gene family are likely to cause FMF. Cell 1997;90:797-807.
7. Weir PS, McLoughlin CC. Anaesthesia for caesarean section in a patient with systemic amyloidosis secondary to familial Mediterranean fever. Int J Obstet Anesth 1998;7:271-274.
8. Kuloğlu Z, Ozçakar ZB, Kirsaçlioğlu C, et al. Is there an association between familial Mediterranean fever and celiac disease? Clin Rheumatol 2008;27:1135-9.
9. Yilmaz Y, Baran B, Seniz NB, Dolar E. Familial Mediterranean Fever coexisting with celiac disease: is there a link with long-term colchicine treatment? J Gastrointestin Liver Dis 2009;18:119-120.
10. Özer A.B, Erhan Ö.L, Hanbeyoğlu O, ve ark. Pediatrik Çölyak Hastalarının Genel Anestezi Uygulamasındaki Özelliklerinin Retrospektif Olarak İncelenmesi. Turkiye Klinikleri J Anest Reanim 2010;8:173-179.
11. Boynes SG, Moore PA, Shepherd CJ, Bennett CR. Anesthetic management of a patient with celiac disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:8-10.
12. Shujing Liu, Baoguo Wang, Shuqin Li, et al. Immune Cell Populations Decrease During Craniotomy Under General Anesthesia. Anesth Analg 2011;113:572577.