Erol ARSLAN, Mehmet İNCE, Oktay SARI, Şeref DEMİRBAŞ, Mustafa ÇAKAR, ÜMİT AYDOĞAN, KENAN SAĞLAM

Asit ve miyalji ile gelen ailevi Akdeniz ateşi: Bir olgu sunumu

Ailevi Akdeniz ateşi (FMF), serozal inflamasyon nedeniyle rekürren ağrı ve ateşle seyreden bir hastalıktır ve Akdeniz ülkelerinde en sık akut karın ağrısı nedenlerinden biridir. Bazen sinovitis, plevrit, perikardit ve bir ay kadar süren febril myalji gibi atipik şekilde ortaya çıkabilir. Bu da bazen tanı koymada gecikmelere sebep olabilmektedir. Burada asit ve myalji ile atipik prezentasyon gösteren ve bu nedenle 46 yaşında tanı konulan bir FMF olgusunu sunuyoruz. Birinci basamak sağlık hizmetlerinde, anamnezin daha dikkatli alınması ve ülkemiz için sık rastlanan FMF’in atipik şekilde ortaya çıkabileceğinin akılda tutulması, hastalığın tanı konulmasındaki gecikmeleri önleyecektir.

Familial Mediterranean fever, myalgia, ascites

FMF is an autosomal recessive disorder with recurrent episodes of pain and fever due to acute infammation of the peritoneum and is one of the most common causes of acute abdominal pain in Mediterranean countries. However, the presentation may be atypical such as synovitis, pleuritis, pericarditis, or a month-long febrile myalgia in patients with FMF. The mentioned atypical presentation may sometimes lead to delays in diagnosis. Here we present a 46 years old case of FMF diagnosis coming with ascites and myalgia showing an atypical presentation. In primary health care, keeping in mind that FMF is common for our country and it may set an atypical presentation, therefore being more careful in getting the anamnesis from the patient can turn out to prevent the delays of the disease diagnosis.

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