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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2019
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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. |
format | Online Article Text |
id | pubmed-6875464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
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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