Article Text

Download PDFPDF
CASE REPORT
A delayed diagnosis: recurrent fever and beta thalassaemia
  1. Michael Samarkos1,2,
  2. Marina Mantzourani1,2,
  3. Christina Nika1,
  4. Vasiliki Kalotychou2
  1. 11st Department of Medicine, Laikon Hospital, Athens, Greece
  2. 21st Department of Medicine, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
  1. Correspondence to Professor Michael Samarkos, msamarkos{at}gmail.com

Summary

Familial Mediterranean fever and beta-thalassaemia are two genetic disorders, with a largely common geographical distribution. However, they have not much else in common, as the first is an autoinflammatory disorder, while the other is a haemoglobinopathy. We describe a patient with known beta-thalassaemia intermedia who presented with recurrent fevers and he was diagnosed with familial Mediterranean fever 2 years later. We discuss whether there is an association between the two disorders and the cognitive biases that lead to the delay in the diagnosis of familial Mediterranean fever.

  • genetics
  • haematology (incl blood transfusion)

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • Contributors MS: interpreted all data; wrote the final version of the manuscript. MM: supervised genetic analysis; critically reviewed the manuscript. CN: collected all data and reviewed the literature. VK: performed all genetic analyses; wrote the first draft of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.