Clinical and Molecular Evaluation of Childern With Familial Meditterranean Fever and Their Siblings
NCT ID: NCT05488561
Last Updated: 2022-08-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
50 participants
INTERVENTIONAL
2022-08-15
2023-08-31
Brief Summary
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It is characterized by recurrent attacks of fever , peritonitis ,pleurisy , arthritis , or erysipelas like skin disease. The most dangerous complication of this disease is secondary amyloidosis . FMF diagnosis is mainly clinical, and the genetic testing is indicated to support it . Uncommonly, amyloidosis may develop in individuals carrying two Familial Mediterranean fever gene (MEFV ) mutations without overt clinical symptoms of FMF, a condition designated as phenotype II. Furthermore, two MEFV mutations may be harbored without signs or symptoms of FMF nor of reactive amyloidosis. This 'silent' homozygous or compound heterozygote state is termed phenotype III.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
SINGLE_GROUP
SCREENING
NONE
Interventions
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CBC with differential ,ESR ,CRP, Amyloid level , FMF gene
leucocytosis , high ESR and CRP ,amyloid level indicates inflammation positive FMF gene indicates having the disease .
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
The presence of at least 2 of the following 5 criteria after exclusion of other causes can diagnose FMF with high sensitivity:
1. Fever axillary temperature of \>38ᵒC, 6-72 h of duration, ≥3 attacks
2. Abdominal pain 6-72 h of duration ≥3 attacks
3. Chest pain 6-72 h duration≥ 3 attacks
4. Arthritis 6-72 h duration ≥3 attacks, oligoarthritis
5. Family history of FMF\*(11) B-sisters and brothers of a child with FMF with clinical or subclinical manifestation of FMF.
Exclusion Criteria
2. Persons above 18 years old.
1 Day
18 Years
ALL
No
Sponsors
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Sohag University
OTHER
Responsible Party
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Nahla Abdelziz Fawy
resident doctor at pediatric department at faculty of medicine sohag university hospital
Locations
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Sohag University Hospital
Sohag, , Egypt
Countries
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Central Contacts
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ashraf m redwan, assisstant professor
Role: CONTACT
Facility Contacts
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Osama R Elshrif, professor
Role: primary
References
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Alghamdi M. Familial Mediterranean fever, review of the literature. Clin Rheumatol. 2017 Aug;36(8):1707-1713. doi: 10.1007/s10067-017-3715-5. Epub 2017 Jun 18.
Cakan M, Karadag SG, Tanatar A, Sonmez HE, Ayaz NA. The Value of Serum Amyloid A Levels in Familial Mediterranean Fever to Identify Occult Inflammation During Asymptomatic Periods. J Clin Rheumatol. 2021 Jan 1;27(1):1-4. doi: 10.1097/RHU.0000000000001134.
Ozdogan H, Ugurlu S. Familial Mediterranean Fever. Presse Med. 2019 Feb;48(1 Pt 2):e61-e76. doi: 10.1016/j.lpm.2018.08.014. Epub 2019 Jan 25.
Talaat HS, Sheba MF, Mohammed RH, Gomaa MA, Rifaei NE, Ibrahim MFM. Genotype Mutations in Egyptian Children with Familial Mediterranean Fever: Clinical Profile, and Response to Colchicine. Mediterr J Rheumatol. 2020 Jun 15;31(2):206-213. doi: 10.31138/mjr.31.2.206. eCollection 2020 Jun.
Other Identifiers
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Soh_Med_22_07_20
Identifier Type: -
Identifier Source: org_study_id
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