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. 2024 Feb 14;16(2):e54170. doi: 10.7759/cureus.54170

Table 3. Criteria for diagnosis of FMF .

Adapted with permission from Livneh et al. [6]

FMF: familial Mediterranean fever.

A Major criteria
  Typical attacks
1 Peritonitis (generalized)  
2 Pleuritis (unilateral) or pericarditis  
3 Monoarthritis (hip, knee, ankle)  
4 Fever alone  
  Typical attack recurrent ≥ 3, fever of 38 °C or > rectal, and short (between 12 hours and 3 days)  
B Minor criteria
  Incomplete attacks
1 Abdomen  
2 Chest  
3 Joint  
4 Exertional leg pain
5 Favorable response to colchicine
C Supportive criteria
1 Family history of FMF
2 Appropriate ethnic origin
3 Age less than 20 years at the time of diagnosis
4 Severe requiring bed rest
5 Spontaneous remission
6 Symptoms free intervals
7 Transient inflammatory response (WBCs, ESR, fibrinogen, or serum amyloid A)
8 Episodic hematuria or proteinuria
9 Negative laparotomy or appendectomy
10 Consanguinity of the parents 
D ≥1 Major criteria, ≥2 minor criteria, 1 minor plus 5 supportive criteria