An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome
We report a rare case of a female patient with multiple rheumatological conditions. The patient initially presented with periodic, diffuse abdominal pain. This complaint was not fully investigated because polyarthritic symptoms became the predominant ones. This led to the diagnosis of rheumatoid art...
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Open Exploration Publishing Inc.
2025-04-01
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| Series: | Exploration of Medicine |
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| Online Access: | https://www.explorationpub.com/uploads/Article/A1001313/1001313.pdf |
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| author | Fadi Altamimi Roupen Avinguolo Arshak Shahenyan Knarik Ginosyan Yasmeen Alabdallat |
| author_facet | Fadi Altamimi Roupen Avinguolo Arshak Shahenyan Knarik Ginosyan Yasmeen Alabdallat |
| author_sort | Fadi Altamimi |
| collection | DOAJ |
| description | We report a rare case of a female patient with multiple rheumatological conditions. The patient initially presented with periodic, diffuse abdominal pain. This complaint was not fully investigated because polyarthritic symptoms became the predominant ones. This led to the diagnosis of rheumatoid arthritis. Afterward, the patient complained of xerostomia, xerophthalmia, and diffuse rash. After investigations, she was diagnosed with Sjögren’s syndrome. Suspecting a case of methotrexate-induced vasculitis, her initial prescription was changed to azathioprine and then to etanercept. Eventually, her persistent abdominal pain, combined with her Armenian origin, prompted her physician to order a genetic analysis of the MEFV gene, which revealed the V726A/P369S mutation, giving rise to the diagnosis of Familial Mediterranean Fever. In her routine follow-up, the patient was in a stable condition, adherent to the medications, and showed improvement in her symptoms. Therefore, this case shows the importance of early genetic testing in similar cases, which in turn will allow timely diagnosis and treatment. |
| format | Article |
| id | doaj-art-e045d0d1fa02423ebf55a3646edbc3e3 |
| institution | OA Journals |
| issn | 2692-3106 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Open Exploration Publishing Inc. |
| record_format | Article |
| series | Exploration of Medicine |
| spelling | doaj-art-e045d0d1fa02423ebf55a3646edbc3e32025-08-20T02:19:15ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062025-04-016100131310.37349/emed.2025.1001313An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndromeFadi Altamimi0https://orcid.org/0009-0003-4286-072XRoupen Avinguolo1https://orcid.org/0009-0003-7907-1089Arshak Shahenyan2https://orcid.org/0000-0002-2748-3802Knarik Ginosyan3https://orcid.org/0000-0002-8241-8501Yasmeen Alabdallat4https://orcid.org/0000-0001-6855-3718Faculty of General Medicine, Yerevan State Medical University after Mkhitar Heratsi, Yerevan 0025, ArmeniaFaculty of General Medicine, Yerevan State Medical University after Mkhitar Heratsi, Yerevan 0025, ArmeniaDepartment of Pathophysiology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan 0025, ArmeniaDepartment of Rheumatology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan 0025, ArmeniaFaculty of Medicine, The Hashemite University, Zarqa 13133, JordanWe report a rare case of a female patient with multiple rheumatological conditions. The patient initially presented with periodic, diffuse abdominal pain. This complaint was not fully investigated because polyarthritic symptoms became the predominant ones. This led to the diagnosis of rheumatoid arthritis. Afterward, the patient complained of xerostomia, xerophthalmia, and diffuse rash. After investigations, she was diagnosed with Sjögren’s syndrome. Suspecting a case of methotrexate-induced vasculitis, her initial prescription was changed to azathioprine and then to etanercept. Eventually, her persistent abdominal pain, combined with her Armenian origin, prompted her physician to order a genetic analysis of the MEFV gene, which revealed the V726A/P369S mutation, giving rise to the diagnosis of Familial Mediterranean Fever. In her routine follow-up, the patient was in a stable condition, adherent to the medications, and showed improvement in her symptoms. Therefore, this case shows the importance of early genetic testing in similar cases, which in turn will allow timely diagnosis and treatment.https://www.explorationpub.com/uploads/Article/A1001313/1001313.pdfrhuematoid arthritissjögren’s syndromefamilial mediterranean fever |
| spellingShingle | Fadi Altamimi Roupen Avinguolo Arshak Shahenyan Knarik Ginosyan Yasmeen Alabdallat An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome Exploration of Medicine rhuematoid arthritis sjögren’s syndrome familial mediterranean fever |
| title | An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome |
| title_full | An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome |
| title_fullStr | An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome |
| title_full_unstemmed | An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome |
| title_short | An unusual case of coexistence of Familial Mediterranean Fever with rheumatoid arthritis and Sjögren’s syndrome |
| title_sort | unusual case of coexistence of familial mediterranean fever with rheumatoid arthritis and sjogren s syndrome |
| topic | rhuematoid arthritis sjögren’s syndrome familial mediterranean fever |
| url | https://www.explorationpub.com/uploads/Article/A1001313/1001313.pdf |
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