Familial mediterranean faver in the differantial diagnosis of pediatric acute scrotum

Pediatrik akut skrotum, en deneyimli klinisyenler için bile tanı koyması zor bir bilmece olabilir. Ayırıcı tanıda dışlanması gereken en önemli durum testis torsiyonudur. Bu yazıda, pediatrik akut skrotumun ayırıcı tanısında akılda tutulmasını hatırlatmak için iki kez skrotal şişlik atağı geçiren bir ailesel Akdeniz ateşi hastası sunduk.

Çocukluk çağında akut skrotum ayırıcı tanısında ailesel akdeniz ateşi

The acute pediatric scrotum is a common clinical condition that can present a diagnostic dilemma for even the most experienced physician. The most important condition to rule out is torsion of the testis. Here we present a case of familial Mediterranean fever (FMF) with two episodes of scrotal swelling to remind that FMF should also be considered in the differential diagnosis of pediatric acute scrotum.

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  • 1. Langevitz F, Zemer D, Livneh A, Shemer J, Pras M. Protracted febrile myalgia syndrome, in patients with familial Mediterranean fever. J Rheumatol 1994; 21:708-9
  • 2. Guindo J, Rodriguez A, Ramio J, Miguel Diaz MA, Subirana MT, et al. Recurrent pericarditis: Relief with colchicine. Circulation 1990; 82:1117-20
  • 3. Eshel G, Zemer D, Bar-Yochai A. Acute orchitis in familial Mediterranean fever. Ann Int Med 1988; 109:164-5
  • 4. Gedalia A, Mordehai J. Acute scrotal involvement in children with familial Mediterranean fever. AJDC 1992; 146:1419-20
  • 5. Majeed HA, Ghandour K, Shahin HM. The acute scrotum in Arab children with familial Mediterranean fever. Pediatr Surg Int 2000; 16:72-4
  • 6. Tunca M, Akar S, Onen F, Ozdogan H, Kasapcopur O, et al. Familial Mediterranean fever (FMF) in Turkey: results of a nationwide multicenter study. Medicine (Baltimore). 2005;84(1):1-11.
  • 7. Lausch E, Fisch M, Beetz R. Familial Mediterranean fever as an unusual cause of acute scrotum. J Urology 2001; 165:1262-63
  • 8. Eshel G, Vinograd I, Barr J, Zemer D. Acute scrotal pain complicating familial Mediterranean fever in children. Br J Surg 1994; 81:894-6
  • 9. Livneh A, Madgar I, Langevitz P, Zemer D. Recurrent episodes of acute scrotum with ischemic testicular necrosis in a patient with familial Mediterranean fever. J Urology 1994; 151: 431-2
  • 10. Tekin M, Yalcinkaya F, Tumer N, Akar N, Misirlioglu M, Cakar N. Clinical, laboratory and molecular characteristics of children with Familial Mediterranean Fever-associated vasculitis. Acta Paediatr 2000;89:177-82
  • 11. Rabinovitz R. The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol 1984;132:89-90.