Case of periodic disease with recurrent interstitial lung disease

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Abstract


Periodic disease or Familial Mediterranean fever is an inherited monogenic disease widespread among the ancient peoples of the countries of Mediterranean region: Armenians, Jews, Turks, Arabs. MEFV gene (Familian Mediterranean Fever Gene) located on chromosome 16 in the region 16р13.3, is responsible for the development of the disease. MEFV gene encodes marenostrin protein (Pirin) involved in the regulation of inflammatory processes. Typical manifestations of the disease are recurrent fever, peritonitis, synovitis, pleuritis, and rarely pericarditis, meningitis, erysipeloid skin lesions, development of amyloidosis, mainly kidneys, is also characteristic. In the described clinical case the disease has manifested as recurrent interstitial lung disease and morphea-like skin lesion. Over 5 years the lung pathology was considered as cryptogenic organizing pneumonia, so the patient was administered corticosteroids (with no effect). In 2013, molecular genetic study detected mutations V726A and A744S in compaud-heterozygous state, the diagnosis of periodic disease was confirmed. Receiving colchicine for over 3.5 years induced remission of the disease: there were no episodes of febrile fever and exacerbations of pneumonia, radiologic regression of lung lesions and elimination of morphea-like skin lesion was observed. Clinical symptoms of periodic disease in this case are rarely encountered.


A V Shestakova

Author for correspondence.
gorm74@mail.ru
City Clinical Hospital №13 Nizhny Novgorod, Russia

S N Volkova

gorm74@mail.ru
Nizhny Novgorod State Medical Academy; City Clinical Hospital №13 Nizhny Novgorod, Russia; Nizhny Novgorod, Russia

G V Shestakova

gorm74@mail.ru
Nizhny Novgorod State Medical Academy; City Clinical Hospital №13 Nizhny Novgorod, Russia; Nizhny Novgorod, Russia

M L Gorbunova

gorm74@mail.ru
Nizhny Novgorod State Medical Academy Nizhny Novgorod, Russia

I V D’yachkova

gorm74@mail.ru
City Clinical Hospital №13 Nizhny Novgorod, Russia

E V Radovskaya

gorm74@mail.ru
City Clinical Hospital №13 Nizhny Novgorod, Russia

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© 2017 Shestakova A.V., Volkova S.N., Shestakova G.V., Gorbunova M.L., D’yachkova I.V., Radovskaya E.V.

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