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Correspondence
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Volume 346:1415-1416 May 2, 2002 Number 18
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Hereditary Periodic Fever

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To the Editor: Several details in the review article on hereditary periodic fever (Dec. 13 issue)1 warrant clarification. The authors state that the frequency of the susceptibility gene for familial Mediterranean fever is 1 in 135 among Ashkenazi Jews, a figure derived from population studies performed before the gene (MEFV ) was cloned. Since the advent of DNA analysis, we and others have reported a frequency of 1 in 5 among Ashkenazi Jews.2,3,4 The discrepancy may be due in part to the high frequency of the E148Q mutation, which may be associated with mild disease or nonpenetrance. The authors . . . [Full Text of this Article]

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