{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T18:07:26Z","timestamp":1773511646598,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title><jats:sec><jats:label\/><jats:p>The lack of pediatric subspecialists locally prior to 5\u2009years ago, meant that some of our patients with rare, relapsing conditions were left behind. Familial Mediterranean fever can be diagnosed clinically and supported via genetic panel studies. Although neurological symptoms can be non\u2010specific, this system symptomatology may lead patients and carers to seek medical attention. When neurological symptoms progress, seemingly refractory to first\u2010line treatment, or suggestive of colchicine resistance, CNS demyelination should be considered by the neurologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Familial Mediterranean fever (FMF) is an inherited disorder with episodic fevers accompanied by pain in the abdomen, joints, or chest. It is a clinical entity that can be confirmed with a specific genetic mutation. Neurological symptoms have not been a focal point in clinical case descriptions. We aim to present the long road to diagnosing our patient, where the diagnostic clues centered around her neurological symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8973","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T04:25:12Z","timestamp":1722486312000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Solving a diagnostic dilemma in a patient with periodic fever\u2014When the pieces of the puzzle finally fit"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0378-7614","authenticated-orcid":false,"given":"Vanita","family":"Shukla","sequence":"first","affiliation":[{"name":"Paediatric Department Eric Williams Medical Sciences Complex, NCRHA  Champ Fleurs Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3610-703X","authenticated-orcid":false,"given":"Virendra R. 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