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- W2415397046 abstract "Background The MEFV gene encodes the pyrin protein, which regulates IL-1b and IL-18 production, two cytokines that participate in the innate immune response. Mutations in the MEFV gene are associated with familial Mediterranean fever (FMF), but our group identified these mutations in patients with intermittent hydrarthrosis (IH) and palindromic rheumatism (PR). (1, 2). Objectives To analyse the clinical usefulness of MEFV gene mutation analysis in patients with undifferentiated arthritis (UA). Methods Descriptive, retrospective study including patients with UA who underwent systematic screening for MEFV gene mutations, and were followed at the Rheumatology Department, Hospital Clinic, Barcelona, between 2000 to 2014. The following clinical and demographic data were collected; age, sex, age at onset of disease, disease duration, joint swelling characteristics: frequency, duration, number of joints involved (monoarthritis, oligoarthritis or polyarthritis), location pattern (upper or lower extremities); seropositivity (rheumatoid factor and/or ACPA), final diagnosis and clinical response to colchicine. Results Ninety five patients were included (68% female, mean age 39.9±14.7 years, follow up 8.5±6 years). MEFV gene mutational analysis was positive in 21 patients (22%) and negative in 74 (78%). In patients with mutations, the duration of arthritis was In patients without mutations, the duration of arthritis was Conclusions MEFV gene mutational analysis may be useful in the differential diagnosis of patients with undifferentiated arthritis, especially those with References Canete JD, et al. Arthritis Rheum 2006;54:20:2334–2337. Canete JD, et al. Arthritis Rheum. 2007;56:2784–2788. Disclosure of Interest None declared" @default.
- W2415397046 created "2016-06-24" @default.
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- W2415397046 date "2015-06-01" @default.
- W2415397046 modified "2023-10-02" @default.
- W2415397046 title "SAT0597 Usefulness of Mutacional Analysis of the MEFV Gene in Patients with Undifferentiated Arthritis" @default.
- W2415397046 doi "https://doi.org/10.1136/annrheumdis-2015-eular.3267" @default.
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