Skip to main content

Table 1 Clinical criteria for the diagnosis of FMF

From: Periodic fever syndromes: beyond the single gene paradigm

Tel Hashomer clinical criteria (3)

 Diagnostic criteria:

One or more major signs; or

Two minor signs; or

One minor and five supportive criteria

 Major criteria:

≥3 attacks of the same type, with rectal temperature ≥ 38 °C, lasting 12–72 h, as well as:

 Peritonitis

 Pleuritis or pericarditis

 Monoarthritis (hip, knee, ankle)

 Fever alone

 Minor criteria:

Incomplete attacks involving 1 or more of abdomen, chest, joint

Exertional leg pain

Favourable response to colchicine

 Supportive criteria:

Family history of FMF

Appropriate ethnic origin

Age < 20 yr. at disease onset

Features of attacks: severe; spontaneous remission; symptom-free intervals; transient inflammatory response with abnormal WBC, ESR, SAA, or fibrinogen; episodic proteinuria/hematuria; unproductive laparotomy; parental consanguinity

Yalcinkaya clinical criteria for children (4)

 Requires ≥3 attacks with ≥2 of the following:

 

Fever with axillary temperature > 38 °C lasting 6–72 h

Abdominal pain lasting 6–72 h

Chest pain lasting 6–72 h

Oligoarthritis lasting 6–72 h

Family history of FMF