Please cite this article in press as: Aydo˘ gmus ¸ C ¸, et al. Is there any difference regarding atopy between
children with familial Mediterranean fever and healthy controls? Allergol Immunopathol (Madr). 2017.
http://dx.doi.org/10.1016/j.aller.2016.12.006
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Allergol Immunopathol (Madr). 2017;xxx(xx):xxx---xxx
www.elsevier.es/ai
Allergologia et
immunopathologia
Sociedad Espa ˜ nola de Inmunolog´ ıa Cl´ ınica,
Alergolog´ ıa y Asma Pedi ´ atrica
ORIGINAL ARTICLE
Is there any difference regarding atopy between
children with familial Mediterranean fever and healthy
controls?
C ¸. Aydo˘ gmus ¸
a
, N.A. Ayaz
b,*
, M. C ¸akan
b
, F. C ¸ipe
a
, N. Topal
c
, Ö.B. Öner
c
,
G. Keskindemirci
c
, A. Akc ¸ay
d
a
Istanbul Kanuni Sultan Süleyman Education and Research Hospital, Pediatric Allergy-Immunology Unit, Turkey
b
Istanbul Kanuni Sultan Süleyman Education and Research Hospital, Pediatric Rheumatology Unit, Turkey
c
Istanbul Kanuni Sultan Süleyman Education and Research Hospital, Pediatrics Unit, Turkey
d
Acıbadem University Medical Faculty, Pediatrics Unit, Turkey
Received 23 October 2016; accepted 3 December 2016
KEYWORDS
Familial
Mediterranean fever;
Atopy;
Th1;
Th2;
Th17;
Asthma;
Allergy;
Allergic rhinitis;
Eczema
Abstract
Introduction: There are only a few studies regarding the prevalence of atopy in Familial
Mediterranean fever (FMF) patients, and their results are conflicting.
Methods: In this study children with the diagnosis of FMF were evaluated for the presence of
atopy by comparing with controls. One hundred and eighteen children diagnosed as FMF and 50
healthy age and sex matched controls were enrolled. They were evaluated for the presence of
rhinitis, atopic dermatitis, urticaria and asthma. Laboratory assessment was done by measuring
IgA, IgM, IgG, IgE levels, total eosinophil count and by performing skin prick test (SPT) panels
for common allergens to children with FMF and healthy controls.
Results: One hundred and eighteen children (61girls and 57 boys) diagnosed as FMF with a
median age of 120 ± 47 months (range 36---204 months) were compared with 50 healthy controls
(31 girls and 19 boys) having a median age of 126 ± 37 (range 48---192 months). The mean per-
centage of total eosinophil count of patients was similar to that of the control group. The mean
level of IgE was significantly higher in children with FMF than controls (136 ± 268, 87 ± 201,
respectively; p values <0.05). The percentage of skin prick test positivity was similar for both
patients and controls (13% and 8.2%, respectively; p > 0.05). The prevalences of atopic der-
matitis, allergic rhinitis, and asthma in the patient group were 5.08%, 28.8%, and 15.25%,
respectively, while the control group had the prevalences of 0%, 36%, and 14% respectively.
Conclusion: Children with FMF did not show an increase of atopic dermatitis, allergic rhinitis
and asthma with respect to controls.
© 2017 SEICAP. Published by Elsevier Espa˜ na, S.L.U. All rights reserved.
∗
Corresponding author.
E-mail address: nurayaktay@gmail.com (N.A. Ayaz).
http://dx.doi.org/10.1016/j.aller.2016.12.006
0301-0546/© 2017 SEICAP. Published by Elsevier Espa˜ na, S.L.U. All rights reserved.