Abstract
Familial Mediterranean fever (FMF) is a multisystem disease characterized by recurrent polyserositis episodes seen in certain ethnic groups. In recent years the clinical picture of FMF has been expanded and severe myalgia is a frequently recognized component of the syndrome. Protracted febrile myalgia syndrome (PFMS), characterized by severe paralyzing myalgia, high fever, abdominal pain, diarrhea, arthritis/arthralgia, and transient vasculitic rashes mimicking Henoch-Schonlein purpura, was first described in patients with FMF in 1994. We describe an 11-year-old Turkish girl with a second attack of PFMS before being diagnosed as having FMF, emphasizing the importance of myalgia for the diagnosis of FMF even in the absence of other symptoms.
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Soylu, A., Őztürk, Y., Kasap, B. et al. Clinical quiz: A pediatric case presenting with fever and diffuse myalgia. Rheumatol Int 25, 314–316 (2005). https://doi.org/10.1007/s00296-004-0530-5
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DOI: https://doi.org/10.1007/s00296-004-0530-5