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AİLEVİ AKDENİZ ATEŞİ TANISINA EŞLİK EDEN HASTALIKLAR: TEK MERKEZ DENEYİMİ Diseases Accompanying Familial Mediterranean Fever: A Single-centre Experıence
2020
Journal:  
Bozok Tıp Dergisi
Author:  
Abstract:

ÖZET Amaç: Ailevi Akdeniz Ateşi(AAA) tekrarlayan ateş, serozit, artrit atakları ile seyreden, otoinflamatuar hastalıkların en sık görülenidir. Klasik bulguların yanında giderek artan oranda ve çeşitlilikte eşlik eden hastalıklar beraber seyretmektedir. Çalışmamızın amacı çocuk romatoloji merkezimize başvuran AAA tanılı çocuk hastalarda eşlik eden hastalıkları incelemektir. Gereç ve Yöntem: Çalışmaya takipteki 586 AAA tanılı hastadan eşlik eden hastalığı olan 107 hasta alındı. Hasta dosyalarından yaş, AAA tanı yaşı, klinik özellikleri, eşlik eden hastalık tanı yaşları, başvuru klinik ve laboratuvar özellikleri ve tedavileri kaydedildi. Bulgular: Hastaların ortalama yaşı 16 (IQR: 11,5-18) yıl, AAA tanı yaşı ise 7(IQR: 4-10) yıl olarak tespit edildi. Eşlik eden birinci hastalık ortalama tanı yaşı 10 (IQR:7-14), ikincisinin 11(IQR:7-15), üçüncüsünün 8(IQR:8-9) yıl idi. Hastalardan 96'sının (%89.71) ekson 10 mutasyonu mevcuttu. IgA vasküliti 9(%1.53), Behçet hastalığı 2(%0.34), poliarteritis nodosa (PAN) 1(%0.17), kutanöz PAN 2(%0.34), ürtikeryal vaskülit 1( %0.17), oligoartiküler jüvenil idiyopatik artrit(JİA) 6(%1.02), poliartiküler JİA 3(% 0.51), EİA 37(%6.31), kronik nonenfeksiyöz osteomyelit 7(%1.19), inflamatuar bağırsak hastalığı 3(%0.51), dirençli AAA 33(%5.63), amiloidoz 4(%0.68), akut romatizmal ateş 3(%0.51), PFAPA 4(%0.86), çölyak hastalığı 2(%0.34), psöriasis 1(%0.17), morfea 1(%0.17), mukopolisakkaridoz tip 6 1(%0.17) hastada tespit edildi. Sonuç: AAA tanısı ile takip edilen hastaların sistemik sorgu ve muayeneleri dikkatli şekilde yapılarak atak durumları, ilaç uyumları ve eşlik eden hastalıklar açısından değerlendirilmelidir.

Keywords:

Diseases Accompanying Familial Mediterranean Fever: A Single-Centre Experiment
2020
Journal:  
Bozok Tıp Dergisi
Author:  
Abstract:

Family Mediterranean Fever (AAA) is a common one with repeated fever, serositis, arthritis attacks, auto-inflammatory diseases. In addition to the classic findings, the increasing rate and variety of accompanying diseases are seen together. The purpose of our study is to investigate the diseases accompanied by AAA-known children's patients who apply to our children's romatology center. Method and means: The study followed with 586 diagnosed AAAs of 107 patients with accompanying disease. Patient files recorded age, AAA diagnosis age, clinical characteristics, accompanying disease diagnosis ages, application clinical and laboratory characteristics and treatments. The average age of patients was 16 (IQR: 11.5-18) years and the diagnosed age of AAA was 7 (IQR: 4-10) years. The average diagnosed age of the first associated disease was 10 (IQR:7-14), the second 11 (IQR:7-15), and the third 8 (IQR:8-9) years. 96 of the patients (89.71) had exon 10 mutations. IgA vasculitis 9(%1.53), Behcet disease 2(%0.34), polyarthritis nodosa (PAN) 1(%0.17), cutanous PAN 2(%0.34), urticeral vasculitis 1(%0.17), oligoarticular juvenile idiopathic arthritis(JIA) 6(%1.02), polyarthric JIA 3(%0.51), EIA 37(%6.31), chronic non-infectious osteomyelitis 7(%1.19), inflammatory intestinal disease 3(%0.51), resistant AAA 33(%5.63), amyloidosis 4(%0.68), acute romatismic fever 3(%0.51), PAPA 4(%0.86); polyarticular JIA 3(%0.51), EIA 37(%6.31), chronic non-infectious osteomyelitis 7(%1.19), inflammatory intestinal disease 3(%0.51), resistant AAA 33(%5.63), amyloidosis 4(%068), acute The result: the systematic surveys and examinations of the patients followed by the AAA diagnosis should be carefully carried out in terms of attack conditions, medicinal compatibility and accompanying diseases.

2020
Journal:  
Bozok Tıp Dergisi
Author:  
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Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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