家族性地中海热
Familial Mediterranean fever
定义 英文原文(暂无中文)
Familial Mediterranean fever (FMF) is an autoinflammatory disorder characterized by recurrent short episodes of fever and serositis resulting in pain in the abdomen, chest, joints and muscles.
别名
家族性阵发性多浆膜炎
基本事实
- 遗传方式
- 常染色体显性、常染色体隐性
- 发病年龄
- 青少年期、成年期、儿童期、婴儿期
- 患病率
- >1 / 1000(Turkey)
相关基因 1
| 基因 | 名称 | 关联类型 |
|---|---|---|
| MEFV | MEFV innate immunity regulator, pyrin | Disease-causing germline mutation(s) in |
临床表型 50
极常见 99–80%6
- 腹痛 HP:0002027
- 关节疼痛 HP:0002829
- 便秘 HP:0002019
- 发热 HP:0001945
- 肌痛 HP:0003326
- 恶心和呕吐 HP:0002017
常见 79–30%18
- 关节炎 HP:0001369
- 虚弱 HP:0025406
- 胸痛 HP:0100749
- 腹泻 HP:0002014
- 丹毒 HP:0001055
- 红斑 HP:0010783
- 疲乏 HP:0012378
- 高纤维蛋白原血症 HP:0011899
- 感觉迟钝 HP:0033748
- 白细胞增多症 HP:0001974
- 易激惹 HP:0000737
- 口腔白斑 HP:0002745
- 胸膜炎 HP:0002102
- 多发性关节炎 HP:0005764
- 食欲不振 HP:0004396
- 蛋白尿 HP:0000093
- 癫痫发作 HP:0001250
- 睡眠异常 HP:0002360
偶见 29–5%25
- 急性肝功能衰竭 HP:0006554
- 淀粉样变 HP:0011034
- 焦虑 HP:0000739
- 心律失常 HP:0011675
- 腹水 HP:0001541
- 抑郁 HP:0000716
- 红细胞沉降速度升高 HP:0003565
- 胃肠道梗塞 HP:0005244
- 肠梗阻 HP:0005214
- 下背部疼痛 HP:0003419
- 淋巴结肿大 HP:0002716
- 吸收不良 HP:0002024
- 脑膜炎 HP:0001287
- 心肌梗死 HP:0001658
- 肾钙质沉着症 HP:0000121
- 肾病 HP:0000112
- 肾病综合征 HP:0000100
- 睾丸炎 HP:0100796
- 骨关节炎 HP:0002758
- 胰腺炎 HP:0001733
- 下肢水肿 HP:0010741
- 腹膜炎 HP:0002586
- 皮疹 HP:0000988
- 脾肿大 HP:0001744
- 血管炎 HP:0002633
罕见 <4–1%1
- 心包炎 HP:0001701
近两年的全球研究 1,278L2
2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-08A genotype-first approach reveals the molecular basis of pyrin inflammasome activation
- 2026-08An N-terminal CDC42 T43I variant reveals the mechanism of pyrin inflammasome activation
- 2026-08Outcomes of living related kidney donors of recipients with familial mediterranean fever-associated Amyloid A Amyloidosis
- 2026-08Clinical spectrum of pediatric patients carrying heterozygous MEFV gene variants
- 2026-08Effectiveness and probability of full disease control with canakinumab in familial Mediterranean fever: real-world data from the AIDA Network
- 2026-08Shear-wave elastography-based assessment of liver, spleen, and thyroid stiffness in children with Familial Mediterranean Fever in remission: a prospective case-control study
- 2026-07Redefining the Landscape: Acquired Mutations Driving Systemic Autoinflammatory Diseases
- 2026-07病例报告Diagnosis of fibrillary glomerulonephritis suggests possible atypical familial Mediterranean fever in a patient with ulcerative colitis
- 2026-07Disentangling the hepatic risks of familial Mediterranean Fever and colchicine: A propensity score-matched analysis of 19,231 patients
- 2026-07Clinico-demographic and molecular characteristics of familial Mediterranean fever in Egypt: a multicenter study
- 2026-07Familial Mediterranean Fever Is Associated with Higher Atopic Morbidity: Evidence from a Country-Wide Case-Control Study
- 2026-07Sleep Quality and Depressive Symptoms in Clinically Stable Pediatric Familial Mediterranean Fever: Associations with Disease Severity and Developmental Factors
- 2026-07Anakinra treatment practices in colchicine-resistant familial Mediterranean fever: a survey of pediatric rheumatologists conducted through the PReS AID-WP and the Turkish pediatric rheumatology associations
- 2026-07Instagram as an Educational Platform for Familial Mediterranean Fever: A 33-Month Experience
- 2026-07综述Spectrum of MEFV variants in 8,252 patients from Eastern and Southeastern Anatolia: a large single-center cohort study (2019-2026)
- 2026-07Oral health findings and dental behaviour in children with familial mediterranean fever: a case-control study
- 2026-07Cardiovascular Risk and Bone Mineral Density in Children with Familial Mediterranean Fever: The Role of Disease Severity and Genetic Mutations
- 2026-07Beyond genotype: clustering analysis highlights clinical heterogeneity in paediatric familial Mediterranean fever
- 2026-07Recurrent Isolated Sixth Cranial Nerve Palsy Despite Normal Neuroimaging in Familial Mediterranean Fever
- 2026-07Case Report: Acute Sarcoid Myositis Mimicking Protracted Febrile Myalgia in Familial Mediterranean Fever
境外已获批用于本病的药物 2L2
欧盟 0 项、美国 2 项。同一药物在两地各批一次的,会分别列出。
「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。
药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。
已获孤儿药资格、尚未获批的在研药物(2 项)
孤儿药资格只是一种监管身份——它意味着监管机构认可这是罕见病用药并给予研发激励,不代表这个药已被证明有效,也不代表将来一定能上市。绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。
数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。
在中国开展的临床试验 19L2
按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。
登记为可入组 6
- 招募中NCT07077473Observing the Efficacy and Safety of Different Drugs Used in Real-world Familial Mediterranean Fever (FMF) Cases中国研究中心 1 个:Wuhan
- 招募中NCT05200715AutoInflammatory Disease Alliance Registry (AIDA)中国研究中心 2 个:Beijing、Chongqing
- 招募中NCT05845723Tocilizumab and Tofacitinib in the Treatment of Vascular Behçet's Syndrome中国研究中心 1 个:Beijing
- 招募中NCT06145893A Study of Efficacy and Safety of Hemay005 Tablets in Patients With Behçet's Disease中国研究中心 22 个:Beijing、Changchun、Guangzhou、Guilin、Hangzhou、Linyi 等 16 地
- 招募中NCT06849908Baricitinib in the Treatment of Intestinal Behçet's Syndrome中国研究中心 1 个:Beijing
- 招募中NCT06794008BCMA-CD19 CAR-T Therapy for Refractory Autoimmune Diseases中国研究中心 1 个:Beijing
其他状态的试验(13 项)
- 已完成NCT03209219Interferon α2a Versus Cyclosporine for Refractory Behçet's Disease Uveitis中国研究中心 1 个:Beijing
- 已终止NCT03554161Tocilizumab for the Treatment of Refractory Behcet's Uveitis中国研究中心 1 个:Beijing
- 状态未知NCT03566615Does the Cap Increase the Finding of Polyps When Water Exchange Colonoscopy is Used中国研究中心 1 个:Xi'an
- 状态未知NCT03923140A Clinical Study of Tranilast in the Treatment of Cryopyrin-Associated Periodic Syndrome (CAPS)中国研究中心 1 个:Beijing
- 状态未知NCT04101604Biomarkers of Common Eye Diseases中国研究中心 1 个:Guangzhou
- 已终止NCT04218565Golimumab for the Treatment of Refractory Behcet's Uveitis中国研究中心 1 个:Beijing
- 已终止NCT04609397A Study to Evaluate the Efficacy and Safety of Hemay005 in the Treatment of Behçet Disease中国研究中心 31 个:Baotou、Beijing、Bengbu、Changchun、Changsha、Chengdu 等 21 地
- 状态未知NCT05027373Safety, Tolerability and Pharmacokinetic of Recombinant Anti-IL-1β Humanized Monoclonal Antibody Injection中国研究中心 1 个:Shanghai
- 已完成NCT04065672Low-dose IL-2 Treatment on Behcet's Disease中国研究中心 1 个:Beijing
- 状态未知NCT06026020Pathogenesis of Intestinal Behcet's Syndrome中国研究中心 1 个:Beijing
- 已完成NCT07080346Upadacitinib for Refractory Behcet's Syndrome中国研究中心 1 个:Beijing
- 已完成NCT07582991Ustekinumab for Intestinal Behçet's Syndrome With Myelodysplastic Syndrome中国研究中心 1 个:Beijing
- 已撤回NCT07634848Ivarmacitinib for Refractory Behcet's Syndrome中国研究中心 1 个:Beijing
中国境外的在招试验 57L2
这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。
CT.gov 报告命中 57 项,此处取回并展示最近的 15 项。
- 尚未开始招募NCT07157189Clinical, Laboratory, and Therapeutic Analysis of Behçet's Disease in Assiut
- 尚未开始招募NCT07737470Inflammatory Disease Biobank for Immunophenotyping and Cardiovascular Research
- 尚未开始招募NCT07617558Validity and Reliability of the International Physical Fitness Questionnaire and the Self-Perceived Health-Related Physical Fitness Questionnaire in Children and Adolescents With JIA and FMF
- 招募中NCT07702149Diet Restiction in Subjects With Behcet Disease and Complaint of Tinnitus埃及
- 招募中NCT07702123Efficacy of Physical Activity Program in Metabolic-syndrome Females With Behcet Disease埃及
- 招募中NCT07662603Behcet Disease Patients With Pulmonary Endoarterectomy: Outcomes of Program of Inspiratory Msucle Trianing埃及
- 尚未开始招募NCT07476625Efficacy and Safety of Thalidomide for Pediatric PFAPA Syndrome
- 招募中NCT07517250A Study on the Use of Canakinumab Among Familial Mediterranean Fever and Still's Disease Patients瑞士
- 招募中NCT06544018Circadian Rhythm Deregulation in Patients With CAPS法国
- 招募中NCT07247266Study to Evaluate the Safety, Tolerability, Efficacy and Pharmacokinetics of JTE-162 in Subjects With Cryopyrin-Associated Periodic Syndrome (CAPS)加拿大
- 尚未开始招募NCT07439341AGE and CALLY Index in Familial Mediterranean Fever
- 尚未开始招募NCT07329556Skin Autofluorescence Assessment of Advanced Glycation End Products in Rheumatic Diseases
- 招募中NCT07375940Clinical, Biochemical and Epigenetic Profile of Pediatric Behçet Disease意大利、英国
- 尚未开始招募NCT07248059Prevalence of Oral Findings in Egyptian Patients Diagnosed With Familial Mediterranean Fever埃及
- 招募中NCT07077304EACVI Study on Multimodality Cardiovascular Imaging of Inflammatory Cardiovascular Diseases法国
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)