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  • Title: Clinical quiz: a pediatric case presenting with fever and diffuse myalgia.
    Author: Soylu A, Oztürk Y, Kasap B, Akman N, Türkmen M, Kavukçu S.
    Journal: Rheumatol Int; 2005 May; 25(4):314-6. PubMed ID: 15889305.
    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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