Autoinflammatory & rare systemic diseases

Characteristics and outcomes of adult patients with familial Mediterranean fever: Comparison of patients with one versus two pathogenic exon 10 MEFV mutations

Joint Bone SpinePublished Retrospective cohort study

Authors' conclusion

Adult FMF patients with a single pathogenic MEFV mutation display specific clinical features as well as different evolution compared to patients with 2 pathogenic MEFV mutations.

Study context

Population
Adult familial Mediterranean fever (FMF) patients (Eurofever/PRINTO criteria), all sequenced for MEFV, single French referral centre
Participants
581 patients
Exposure
FMF with one pathogenic exon 10 MEFV mutation vs two pathogenic MEFV mutations
  • One mutationn = 178
  • Two mutationsn = 403reference
Outcome
Clinical features and outcomes, one vs two mutations
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • One mutation vs Two mutations: P < 0.001
  • One mutation vs Two mutations: P < 0.001
  • One mutation vs Two mutations: P < 0.001
  • One mutation vs Two mutations: P = 0.001
  • One mutation vs Two mutations: P < 0.05
  • One mutation vs Two mutations: P = 0.001
  • One mutation vs Two mutations: P < 0.001
  • Differences remained significant after adjustment for age at disease onset (childhood or adulthood)

Observational data: associations, not effects.

Further findings

No clinical difference between M694V/E148Q and M694V/WT

Original publication

Characteristics and outcomes of adult patients with familial Mediterranean fever: Comparison of patients with one versus two pathogenic exon 10 MEFV mutations. Joint Bone Spine. Published 30 January 2025. doi:10.1016/j.jbspin.2025.105850

Composed by AI from the published abstract and checked against it. How Briefs are made →

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