Pediatric rheumatology

Premenstrual syndrome and inflammatory activity in adolescent familial Mediterranean fever

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

PMS severity in adolescents with FMF appears linked to disease activity and inflammation.

Study context

Population
Adolescent girls (12–18 years) with Familial Mediterranean fever (FMF) and age-matched healthy controls, January 2024 to February 2025
Participants
40 vs 40
Exposure
Adolescent girls with FMF vs age-matched healthy controls
  • FMFn = 40
  • Healthy controlsn = 40reference
Outcome
Frequency and severity of PMS (Premenstrual Syndrome Scale)
Methodological detailsage-matched healthy controls
  • Age-matched healthy controls

Main finding

As reported in the abstract

  • Premenstrual syndrome (PMS) frequency and severity overall lower in the FMF group
  • FMF vs Healthy controls: P = 0.012
  • FMF vs Healthy controls: P = 0.032

Observational data: associations, not effects.

Further findings

Correlation of PMS scores with attack frequency and Autoinflammatory Disease Activity Index (AIDAI) (FMF)

Positive correlation of PMS scores with attack frequency and AIDAI, r
0.368
P
P = 0.019

Inflammatory markers in PMS-positive individuals (FMF)

Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and WBC higher in PMS-positive individuals

Colchicine adherence in PMS-positive patients (FMF)

Significantly poorer adherence in PMS-positive patients, with higher rates of forgetting doses and discontinuing colchicine

Original publication

Premenstrual syndrome and inflammatory activity in adolescent familial Mediterranean fever. Rheumatology (Oxford). Published 4 April 2026. doi:10.1093/rheumatology/keag169

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