Brief Title
Central Sensitization in Familial Mediterranean Fever (FMF)
Official Title
Central Sensitization in Familial Mediterranean Fever: A Cross-Sectional Observational Study
Brief Summary
Familial Mediterranean Fever (FMF) is an autosomal recessive inherited disease with a course of autoinflammation, which is characterized by the episodes of fever and serositis. Central sensitization (CS) is defined as increased response to normal or sub-threshold stimuli of central nervous system and its close relationship with many rheumatological diseases has been demonstrated in several studies. However, there are no data on the frequency of CS in FMF patients.
Detailed Description
Familial Mediterranean fever (FMF) is a self-limiting autoinflammatory disease with well-defined genetic and clinical features. Recurrent episodes of fever and serositis accompanied by increased acute phase reactants and good response to colchicine are the core components of the disease. The frequency of this disease, which is common in Eastern Mediterranean countries, is variable according to regions, but it is reported as 1/1000. In the pathogenesis of the disease, the mutation of the MEFV (Mediterranean Fever) gene, which is located on the 16th chromosome and encodes the pyrin protein, is known as the basic mechanism.In rheumatic diseases, inflammatory mediators cause CS by first creating changes in the regulation of pain in peripheral neurons and then in spinal and supraspinal pathways. Stimulation of peripheral nerves by mediators released during inflammation results in neurogenic inflammation, which is among the peripheral sensitization (PS) mechanisms. PS is defined as the increased sensitivity of nociceptive neurons to normal or below-threshold stimuli and constitutes the first step in the development of CS.Similar to other autoimmune diseases, it is possible that the neuroinflammatory process triggers peripheral and central sensitization mechanisms in FMF patients and affects pain pathways.
Study Type
Observational
Primary Outcome
Central Sensitization Inventory (CSI)
Secondary Outcome
Short form-36 (SF-36)
Condition
Familial Mediterranean Fever
Intervention
Central Sensitization Inventory
Study Arms / Comparison Groups
FMF patients
Description: Patients with diagnosed FMF
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Diagnostic Test
Estimated Enrollment
80
Start Date
June 1, 2021
Completion Date
March 3, 2022
Primary Completion Date
December 31, 2021
Eligibility Criteria
Inclusion Criteria: - Agree to participate in the study Exclusion Criteria: - Had another systemic inflammatory rheumatic diseases - Using centrally acting pain medications (e.g., pregabalin, duloxetine, opioids) or glucocorticoids (>10 mg prednisone or its equivalent)
Gender
All
Ages
18 Years - 75 Years
Accepts Healthy Volunteers
No
Contacts
Canan Sanal- Toprak, Asst.Prof, 05385577059, [email protected]
Location Countries
Turkey
Location Countries
Turkey
Administrative Informations
NCT ID
NCT05177120
Organization ID
06.12.2019.1053
Responsible Party
Sponsor
Study Sponsor
Marmara University
Study Sponsor
Canan Sanal- Toprak, Asst.Prof, Study Chair, Marmara University
Verification Date
December 2021