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European Journal of Pediatrics

, Volume 167, Issue 4, pp 391–393 | Cite as

The familial Mediterranean fever (MEFV) gene may be a modifier factor of inflammatory bowel disease in infancy

  • Sinan SariEmail author
  • Odul Egritas
  • Buket Dalgic
Original Paper

Abstract

Pediatric inflammatory bowel disease (IBD) usually manifests in childhood or adolescence, but a small number of cases present in infancy. Genetic factors are more important than environmental ones in the onset of pediatric IBD. We report here the concurrent manifestation of IBD and familial Mediterranean fever (FMF) in three infants (less than 6 months of age) in whom infantile ulcerative colitis (UC) was associated with the MEFV mutation. One patient required colectomy before the diagnosis of FMF, and in the other two patients, the UC could not be controlled until colchicine was added to the drug regimen. We suggest that the onset of UC in infants should prompt a search for MEFV mutations as this association may influence the management of the disease.

Keywords

Familial Mediterranean fever Inflammatory bowel disease 

Abbreviations

CD

Crohn disease

FMF

familial Mediterranean fever

IBD

inflammatory bowel disease

UC

ulcerative colitis

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Department of Pediatric Gastroenterology, Faculty of MedicineGazi UniversityAnkaraTurkey
  2. 2.AnkaraTurkey

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