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Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis

A 38-year-old Japanese man without any significant past medical history was referred to our clinic to undergo further examination for a “refractory infection in his joints”. He suffered recurrent migratory polyarthritis starting from bilateral knees to his right elbow. Certain antibiotic therapies a...

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Detalles Bibliográficos
Autores principales: Iwata, Kentaro, Toma, Tomoko, Yachie, Akihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875464/
https://www.ncbi.nlm.nih.gov/pubmed/31292393
http://dx.doi.org/10.2169/internalmedicine.3001-19
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author Iwata, Kentaro
Toma, Tomoko
Yachie, Akihiro
author_facet Iwata, Kentaro
Toma, Tomoko
Yachie, Akihiro
author_sort Iwata, Kentaro
collection PubMed
description A 38-year-old Japanese man without any significant past medical history was referred to our clinic to undergo further examination for a “refractory infection in his joints”. He suffered recurrent migratory polyarthritis starting from bilateral knees to his right elbow. Certain antibiotic therapies appeared to improve his symptoms, but the symptoms recurred due to the migratory nature of arthritis. A diagnosis of familial Mediterranean fever (FMF) was considered and diagnostic tests were performed. Not many differential diagnoses exist for migratory polyarthritis, particularly when it has a recurrent nature. The administration of antibiotics without sufficient diagnostic consideration can cause a delay in making an accurate diagnosis and thereby also cause a delay in administering appropriate treatment.
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spelling pubmed-68754642019-11-25 Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis Iwata, Kentaro Toma, Tomoko Yachie, Akihiro Intern Med Case Report A 38-year-old Japanese man without any significant past medical history was referred to our clinic to undergo further examination for a “refractory infection in his joints”. He suffered recurrent migratory polyarthritis starting from bilateral knees to his right elbow. Certain antibiotic therapies appeared to improve his symptoms, but the symptoms recurred due to the migratory nature of arthritis. A diagnosis of familial Mediterranean fever (FMF) was considered and diagnostic tests were performed. Not many differential diagnoses exist for migratory polyarthritis, particularly when it has a recurrent nature. The administration of antibiotics without sufficient diagnostic consideration can cause a delay in making an accurate diagnosis and thereby also cause a delay in administering appropriate treatment. The Japanese Society of Internal Medicine 2019-07-10 2019-11-01 /pmc/articles/PMC6875464/ /pubmed/31292393 http://dx.doi.org/10.2169/internalmedicine.3001-19 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Iwata, Kentaro
Toma, Tomoko
Yachie, Akihiro
Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis
title Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis
title_full Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis
title_fullStr Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis
title_full_unstemmed Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis
title_short Atypical Familial Mediterranean Fever Presenting with Recurrent Migratory Polyarthritis
title_sort atypical familial mediterranean fever presenting with recurrent migratory polyarthritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875464/
https://www.ncbi.nlm.nih.gov/pubmed/31292393
http://dx.doi.org/10.2169/internalmedicine.3001-19
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