Concurrent protracted febrile myalgia syndrome in a child with diabetic ketoacidosis

Demir K., ÇARMAN K. B. , Kasap B.

PEDIATRIC DIABETES, vol.13, no.6, pp.510-513, 2012 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 13 Issue: 6
  • Publication Date: 2012
  • Doi Number: 10.1111/j.1399-5448.2012.00866.x
  • Title of Journal : PEDIATRIC DIABETES
  • Page Numbers: pp.510-513


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.