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© 1987 British Society for Rheumatology

case-report

POLYARTERITIS NODOSA AND FAMILIAL MEDITERRANEAN FEVER

D. SACHS1, P. LANGEVITZ1, B. MORAG2 and M. PRAS1,

1Department of Internal Medicine and Heller Institute of Medical Research, Sheba Medical Centre, Tel-Hashomer, Tel-Aviv University School of Medicine Israel
2Department of Diagnostic Radiology, Sheba Medical Centre, Tel-Hashomer, Tel-Aviv University School of Medicine Israel

Correspondence to: Address correspondence to Dr. M. Pras, Heller Institute of Medical Research, Sheba Medical Centre, 52621 Tel-Hashomer, Israel

A 22-year-old familial Mediterranean fever (FMF) patient was hospitalized for continuous fever, myalgia, hypertension, vertigo and a petechial rash. Laboratory findings revealed hyperglobulinaemia, throm-bocytosis and a leukaemoid reaction. While on steroid therapy the patient sustained a haemorrhage into a renal aneurysm which responded to gel foam embolization. After 12 months of follow-up his condition remained stable under treatment with cyclophosphamide, prednisone and antihypertensive medications. This case provides the fourth example of polyarteritis nodosa associated with FMF.

KEY WORDS: Familial Mediterranean fever (FMF), Polyarteritis nodosa, Embolization of renal artery


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