Atypical familial Mediterranean fever developed in a long ‐term hemodialysis patient

We report a case of atypical FMF that developed in a long‐term hemodialysis patient. A 65‐year‐old Japanese female undergoing hemodialysis for 32 years was referred to our hospital with a fever of unknown origin (FUO) following cervical laminoplasty. The fever occurred as recurrent attacks accompanied by oligoarthralgia of the left hip and knee. We suspected FMF because of recurrent self‐limited febrile attacks, although the patient showed atypical clinical features such as late‐onset and highly frequent attacks. After receiving treatment, she achieved a complete response to colchicine. Therefore, a diagnosis of FMF was made based on the Tel‐Hashomer criteria, which was confirmed by genetic testing. The case suggests that FMF may be of note in long‐term hemodialysis patients developing FUO.

Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Toshiyuki Makino, Yoshitatsu Ohara, Namiko Kobayashi, Yohei Kono, Ayumu Nomizu, Mariko Ichijo, Yutaro Mori, Noriaki Matsui, Dai Kishida, Takayuki Toda Tags: Case Report Source Type: research