I have a 14 year-old daughter who is sick very often (approximately once every 3 weeks or so), usually with very similar symptoms of extreme weakness, GI symptoms such as stomach pain, acute diharrea, headache and high fever. Each episode lasts approximately 3-4 days and then she recovers. As a small child, from the age of 1-5 she suffered from severe abdominal pain that would literally incapacitate her for between 6 and 12 hours at a time; her abdomen would actually physically swell up and become hard to the touch, almost like a pregnant stomach. At the time, we tried ruling out all kinds of food allergies and even did an upper endoscopy when she was 5 that revealed nothing. Eventually, the symptoms disappeared for several years. The new episodes of frequent illness as referred to in the beginning of my note, began approximately 2 years ago. The physical abdominal symptoms have not reappeared. Her latest blood results reveal the following abnormal levels: High LDH = 466 (ULN = 440) High Fibrinogen = 464 (ULN = 400) High ESR = 25 (ULN = 20) High monocytes = 21.8% (ULN = 13%) One thing that her pedatrician and I are exploring is the possiblity of FMF as my daughter s father is of Tunisian origin. I, however am American from a family originally of Slavic and/or Eastern European origin and we are also not aware of anyone in my husband s family who suffers from FMF or anything similar to it. My daughter s grandmother has recently been diagnosed with chronic MDS...could there be any connection there? I would appreciate your thoughts and ideas for next steps in exploring this. Thank you, Debra
posted on
Thu, 21 Feb 2013

Fri, 22 Feb 2013
Answered on

Sat, 23 Feb 2013
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