Question:
How is hx of pt with FMF?
Author: H KAnswer:
Paroxysms 48-96 hours peak intensity at 12 hours, resolution slower than onset, person's temp rises to 38-40C. Peritoneum (abdominal pain to peritonitis, constipation with attack and diarrhea with resolve, adhesions are rare) Pleural and Pericardial (25-80% pleural episodes, effusion, pericarditis but no tamponade (rare)) Synovial Symptoms (25-75% of cases, resemble gout, knees, ankles and wrists most affected, last several days longer than abdorminal symptoms can be protracted, normal joints between attacks, permenant damage unusual, may be only arthritis) Dermato (50% erysipelaslike rashes in LL below knee) Muscle (myalgia 3-6 weeks, like fibromyalgia no response to colchicine) Pelvic (PID in women) Scrotal attacks (tunica vaginalis inflammation like torsion) Vasculitis (Purpura and polyarteritis nodosa in children and Behjet) Amyloidosis (proteinuria following nephrotic syndrome, renal vein thrombosis 30%, increase risk with recurrent arthritis active SAA
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