Familial mediterranean fever MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

There are no MRI findings associated with familial mediterranean fever. However, a MRI may be helpful in the evaluation of complications of this disease, which include hepatosplenomegaly, exertional leg pain, and specifically myalgia.

There are no MRI findings associated with familial mediterranean fever. However, a MRI may be helpful in the evaluation of complications of this disease, which include hepatosplenomegaly, and specifically myalgia.
MRI may be helpful in the evaluation of myalgia. Findings on MRI suggestive of/diagnostic of myalgia include:^[1]
- Hyperintense focal lesions on both Short-T1 Inversion Recovery (STIR) and fat-saturated gadolinium-enhanced T1-weighted images.

MRI findings of FMF patients with exertional leg pain also include:^[2]

↑ Schulze, Maximilian; Kötter, Ina; Ernemann, Ulrike; Fenchel, Michael; Tzaribatchev, Nikolay; Claussen, Claus D.; Horger, Marius (2009). "MRI Findings in Inflammatory Muscle Diseases and Their Noninflammatory Mimics". American Journal of Roentgenology. 192 (6): 1708–1716. doi:10.2214/AJR.08.1764. ISSN 0361-803X.
↑ Eshed, I; Kushnir, T; Livneh, A; Langevitz, P; Ben-Zvi, I; Konen, E; Lidar, M (2012). "Exertional leg pain as a manifestation of occult spondyloarthropathy in familial Mediterranean fever: an MRI evaluation". Scandinavian Journal of Rheumatology. 41 (6): 482–486. doi:10.3109/03009742.2012.698301. ISSN 0300-9742.