Nedeni Bilinmeyen Ate� ile �li�kili Uzam�� Febril Miyalji Sendromu

�z�m, �zlem; Manyas, Hayrullah; Y�ld�z, Kerem; Bagh�rov, Abbasqulu; Kasap-Demir, Belde

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Nedeni Bilinmeyen Ate� ile �li�kili Uzam�� Febril Miyalji Sendromu [Forbes J Med]

Forbes J Med. 2020; 1(3): 101-104 | DOI: 10.5222/forbes.2020.98852

Nedeni Bilinmeyen Ate� ile �li�kili Uzam�� Febril Miyalji Sendromu

�zlem �z�m¹, Hayrullah Manyas², Kerem Y�ld�z¹, Abbasqulu Bagh�rov¹, Belde Kasap-Demir³
¹Tepecik E�itim ve Ara�t�rma Hastanesi, �ocuk Sa�l�� ve Hastal�klar�, �zmir, T�rkiye
²Menemen Devlet Hastanesi, �ocuk Sa�l�� ve Hastal�klar�, �zmir, T�rkiye
³�zmir Katip �elebi �niversitesi, �ocuk Sa�l�� ve Hastal�klar�, �ocuk Nefroloji ve Romatoloji, �zmir

�ocuklarda 8 g�n boyunca, g�nde en az bir kez 38.3�C (101�F)�den y�ksek olan ve tetkikler sonucu sebebi bulunamayan ate� y�ksekli�i, nedeni bilinmeyen ate� olarak adland�r�l�r. �ocuklarda nedeni bilinmeyen ate�in bir�ok sebebi vard�r ve en s�k �� nedeni, enfeksiyon hastal�klar�, ba� dokusu hastal�klar� ve malignitelerdir. Bu yaz�da ate� y�ksekli�i ve y�ksek akut faz reaktan� d��nda fizik muayene ve biyokimyasal parametreleri normal s�n�rlarda olan 15 ya��nda bir k�z olgu sunuldu. Olgu, kar�n a�r�s�, artralji veya g��s a�r�s� olmadan, ate� �ikayetine �iddetli miyalji eklenince, uzam�� febrilmiyalji tan�s� ald�. Bu olgu, uzam�� febril miyalji sendromunun, Ailesel Akdeniz ate�inin ilk semptomu olabilece�ini ve nedeni bilinmeyen ate� etiyolojisinde d��n�lmesi gerekti�ini belirtmek i�in sunulmu�tur.

Anahtar Kelimeler: Ailesel Akdeniz ate�i, nedeni bilinmeyen ate�, uzam�� febril miyalji

Protracted Febrile Myalgia Associated with Fever of Unknown Origin

�zlem �z�m¹, Hayrullah Manyas², Kerem Y�ld�z¹, Abbasqulu Bagh�rov¹, Belde Kasap-Demir³
¹Tepecik Education and Training Hospital, Department of Pediatrics, Izmir, Turkey
²Menemen State Hospital, Department of Pediatrics, Izmir, Turkey
³Izmir Katip �elebi University, Faculty of Medicine, Department of Pediatric Rheumatology, Izmir, Turkey

Fever of unknown origin (FUO) is considered in children as fever >38.3�C (101�F) at least once a day for 8 days and more without any apparent diagnosis. There are lots of underlying factors for fever of unknown origin and the three most common etiologic categories in children are infectious diseases, connective tissue diseases, and neoplasms. In this article, we have presented a 15-year-old girl admitted with normal physical, and biochemical examination findings except fever and an elevated acute phase reactant. She was diagnosed with protracted febrile myalgia syndrome (PFMS) when severe myalgia was added to her complaints although she denied previously experienced periodic fever, abdominal pain, arthralgia or chest pain. We presented our case to emphasize that protracted febrile myalgia syndrome, one of the atypical clinical manifestations of Familial Mediterranean fever, may be the presenting symptom of Familial Mediterranean fever as well as an underlying cause of fever of unknown origin.

Keywords: Familial Mediterranean fever, Fever of unknown origin, prolonged febrile myalgia

Sorumlu Yazar: �zlem �z�m, T�rkiye
Makale Dili: T�rk�e

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