Concurrent protracted febrile myalgia syndrome in a child with diabetic ketoacidosis

Demir K., ÇARMAN K. B., Kasap B.

PEDIATRIC DIABETES, cilt.13, sa.6, ss.510-513, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 6
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1111/j.1399-5448.2012.00866.x
  • Dergi Adı: PEDIATRIC DIABETES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.510-513
  • Anahtar Kelimeler: DKA, FMF, protracted febrile myalgia, T1DM, FAMILIAL MEDITERRANEAN FEVER, DIAGNOSIS, CRITERIA, MELLITUS, MARKERS, DISEASE
  • Eskişehir Osmangazi Üniversitesi Adresli: Hayır

Özet

Familial Mediterranean Fever (FMF), characterized by recurrent attacks of inflammation in predominantly serosal and synovial membranes, is caused by MEFV gene mutations resulting in abnormal pyrin. Protracted febrile myalgia syndrome (PFMS), a kind of vasculitis requiring corticosteroid treatment, is associated with M694V mutation of MEFV gene. Here, we report a case where the patient developed PFMS leading to the diagnosis of FMF concurrently at the time of treatment for diabetic ketoacidosis (DKA) of new-onset type 1 diabetes mellitus and discuss the possible mechanisms of simultaneous DKA and FMF-associated PFMS. DKA-associated cytokine release may be a predisposing factor or trigger for FMF-associated PFMS.