Autoinflammatory & rare systemic diseases

Spectrum of MEFV variants in 8,252 patients from Eastern and Southeastern Anatolia: a large single-center cohort study (2019–2026)

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

This study provides a large region-specific reference for MEFV variation in Eastern and Southeastern Anatolia.

Study context

Population
Consecutive referrals tested for recurrent MEFV common variants, tertiary genetics laboratory, Eastern and Southeastern Anatolia, 2019–2026 (median age 17 years; 53.8% female)
Participants
8,252 consecutive referrals
Exposure
Wild-type (WT) vs Monoallelic vs Multi-allelic
  • WTn = 4,985
  • Monoallelicn = 2,327
  • Multi-allelicn = 940
Outcome
MEFV variant spectrum and genotype categories
Methodological detailssingle-center, consecutive referrals, tertiary genetics laboratory
  • Single-center
  • Consecutive referrals
  • Tertiary genetics laboratory

Main finding

As reported in the abstract

Genotype categories
GroupValueHomozygousCompound heterozygousComplex multi-site
WT60.4%
Monoallelic28.2%
Multi-allelic11.4%3.8% (311/8,252)6.9% (569/8,252)0.7% (60/8,252)

Value

WT60.4%
Monoallelic28.2%
Multi-allelic11.4%

Homozygous

WT— not stated in the abstract
Monoallelic— not stated in the abstract
Multi-allelic3.8% (311/8,252)

Compound heterozygous

WT— not stated in the abstract
Monoallelic— not stated in the abstract
Multi-allelic6.9% (569/8,252)

Complex multi-site

WT— not stated in the abstract
Monoallelic— not stated in the abstract
Multi-allelic0.7% (60/8,252)

Observational data: associations, not effects.

Further findings

Most frequent variants

M694V
14.5% (1,199/8,252)
E148Q
14.0% (1,158/8,252)
V726A
5.2% (426/8,252)
M680I (G > C)
4.1% (337/8,252)
E148Q common but predominantly heterozygous
Variant rankings broadly similar between females and males

Original publication

Spectrum of MEFV variants in 8,252 patients from Eastern and Southeastern Anatolia: a large single-center cohort study (2019–2026). Pediatr Rheumatol Online J. Published 9 July 2026. doi:10.1186/s12969-026-01220-9

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