Evidence map›Paper›PMID 42360602›Full record

ArticleIrish journal of medical science2026

Exertional leg pain is associated with ıncreased disease activity and musculoskeletal ınvolvement, but not MEFV genotype, in familial Mediterranean fever.

Sibel Ösken, Çiğdem Çetin

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Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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2 authors.

Sibel ÖskenDepartment of Rheumatology, Istanbul Erenköy Physical Therapy and Rehabilitation Hospital, Istanbul, Türkiye. sibeltos@yahoo.com.ORCID http://orcid.org/0000-0003-3052-609X
Çiğdem ÇetinDepartment of Rheumatology, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Istanbul, Türkiye.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamilial Mediterranean fever (FMF) is characterized by recurrent inflammatory attacks and marked clinical heterogeneity. Exertional leg pain (ELP) is a common but underrecognized manifestation.

aimsWe aimed to evaluate the association of ELP with disease activity, inflammatory burden, and MEFV genotype distribution in patients with FMF.

methodsIn this retrospective cross-sectional study, FMF patients from a tertiary rheumatology center were stratified according to the presence of ELP. Demographic and clinical features, annual attack frequency, International Severity Scoring System for FMF (ISSF), colchicine dose, and inflammatory markers including erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were recorded. MEFV genotype distributions were compared between groups.

resultsAmong 135 patients, 65 (48.1%) had ELP. Demographic characteristics were similar between groups, although smoking was more frequent in patients with ELP. Patients with ELP had less frequent serositis but more prominent musculoskeletal involvement, particularly arthritis and enthesitis. They also exhibited higher annual attack frequency, higher ISSF scores, and elevated ESR and CRP levels. MEFV genotype distribution did not differ between groups.

conclusionsELP is associated with higher disease activity, increased inflammatory burden, and a musculoskeletal-predominant phenotype in FMF, while no significant association with MEFV genotype distribution was observed in this cohort. Clinically, the presence of ELP may help identify patients with increased inflammatory burden who may benefit from closer assessment.

Indexed as

Familial Mediterranean FeverLegPainPyrinAdultBlood SedimentationColchicineC-Reactive ProteinCross-Sectional StudiesFemaleGenotypeHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexColchicineC-Reactive ProteinMEFV protein, humanPyrinDisease activityExertional leg painFamilial Mediterranean feverInflammationMEFV geneMusculoskeletal involvement

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