Familial Mediterranean fever--a not so unusual cause of abdominal pain

Best Pract Res Clin Gastroenterol. 2005 Apr;19(2):199-213. doi: 10.1016/j.bpg.2004.11.009.

Abstract

Familial Mediterranean fever is a hereditary syndrome characterised by recurrent episodes of fever and serositis, resulting in pain in the abdomen, chest, joints and muscles. It is primarily diagnosed in people of Jewish, Arabic, Turkish or Armenian ancestry and is caused by mutations in the gene encoding for pyrin. Abdominal FMF attacks resemble the clinical presentation of 'acute abdomen', with severe abdominal pain and rigidity, but in FMF symptoms always resolve spontaneously. It is important to distinguish these regular pain episodes from small bowel obstruction due to adhesions to prevent life-threatening bowel strangulation. In most cases, colchicine will prevent new painful attacks. This seminar also discusses other causes of abdominal pain in FMF patients.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Pain / etiology*
  • Adult
  • Amyloidosis / etiology
  • Amyloidosis / prevention & control
  • Colchicine / therapeutic use
  • Diagnosis, Differential
  • Familial Mediterranean Fever / complications
  • Familial Mediterranean Fever / diagnosis*
  • Familial Mediterranean Fever / genetics
  • Familial Mediterranean Fever / therapy*
  • Gout Suppressants / therapeutic use
  • Humans
  • Male

Substances

  • Gout Suppressants
  • Colchicine