Pediatric rheumatology

Assessment of colchicine adherence and influencing factors in paediatric familial Mediterranean fever

Scand J RheumatolPublished Cross-sectional study

Authors' conclusion

Colchicine non-adherence is frequent in paediatric FMF and largely unrelated to patient factors.

Study context

Population
Paediatric familial Mediterranean fever (FMF) patients (1–18 years old)mean age 11.8 ± 3.8 years
Participants
324 patients
Exposure
Good vs poor colchicine adherence
  • Good adherencen = 88
  • Poor adherencen = 236
Outcome
Colchicine adherence measured via MASIF

Main finding

As reported in the abstract

Colchicine adherence (MASIF)

Observational data: associations, not effects.

Further findings

School absenteeism

P < 0.001

Adherence vs sex, age group, age at diagnosis, disease severity, family history, colchicine intolerance/resistance, biologic use

Adherence not significantly associated with sex, age group, age at diagnosis, disease severity, family history, colchicine intolerance/resistance, or biologic use

Erysipelas-like erythema at diagnosis and adherence

Erysipelas-like erythema present at diagnosis
28 (8.6%)
Correlated with better adherence
P = 0.016

Self-reported regular colchicine use vs MASIF

Self-reported regular colchicine use
142 (43.8%)
Poor adherence by MASIF among self-reported regular users
101 (71.1%)

Original publication

Assessment of colchicine adherence and influencing factors in paediatric familial Mediterranean fever. Scand J Rheumatol. Published 16 February 2026. doi:10.1080/03009742.2026.2618334

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