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Assessment of Interleukin-33 Levels in Patients with Familial Mediterranean Fever Cover

Assessment of Interleukin-33 Levels in Patients with Familial Mediterranean Fever

Open Access
|Jan 2026

Figures & Tables

Relationship between clinical features, laboratory findings and IL-33

All FMF PatientsColchicine Responsive FMFColchicine Resistant FMF
Leukocyte count
  • p=0.77

  • r=0.03

  • p=0.49

  • r=−0.13

  • p=0.82

  • r=0.04

Neutrophil count
  • p=0.46

  • r=0.08

  • p=0.26

  • r=−0.21

  • p=0.26

  • r=0.22

Lymphocyte count
  • p=0.35

  • r=−0.10

  • p=0.93

  • r=0.01

  • p=0.03

  • r=−0.42

Hemoglobin
  • p=0.84

  • r=−0.02

  • p=0.53

  • r=0.12

  • p=0.77

  • r=−0.06

Thrombocyte
  • p=0.87

  • r=0.01

  • p=0.88

  • r=0.02

  • p=0.05

  • r=−0.37

Albumin
  • p=0.28

  • r=0.12

  • p=0.82

  • r=0.04

  • p=0.85

  • r=0.03

CRP
  • p=0.10

  • r=−0.17

  • p=0.53

  • r=−0.12

  • p=0.45

  • r=0.15

ESR
  • p=0.05

  • r=−0.21

  • p=0.14

  • r=−0.28

  • p=0.11

  • r=−0.31

Comparison of laboratory parameters between groups

Healthy Controls n=29Colchicine responsive FMF n=28Colchicine resistant FMF n=26p1p2p3
Leukocyte, mm36340 [2680]7840 [2400]7670 [2287]0.110.180.97
Neutrophil, mm33730 [1830]4290 [2022]4435 [2602]0.200.140.67
Lymphocyte, mm32220 [925]2230 [752]2010 [970]0.400.160.03
Hemoglobin, g/dL14.1 ± 1.813.5 ± 2.013.4 ± 2.10.290.240.87
Thrombocyte, x103/μL255 [75]275 [99]276 [114]0.170.380.84
Creatinine, mg/dL0.75 [0.23]0.68 [0.25]0.82 [4.42]0.050.200.02
Albumin, g/dL4.61 ± 0.324.62 ± 0.294.29 ± 0.520.890.0080.006
ESR, mm/h14 [8.50]13 [11.25]22 [26.75]0.570.0020.001
CRP, mg/L3.40 [2.75]2.90 [3.35]16 [30.48]0.18<0.001<0.001
IL-33, ng/L221 [179]287 [495]257 [219]0.0060.740.09

Demographic data and disease characteristics

Colchicine responsive FMF n=28Colchicine resistant FMF n=26P
Age, mean ± SD, years33.3 ± 11.435.4 ± 7.60.44
Sex, female, n (%)20 (71%)9 (35%)0.007
Age at disease onset, years21 [12]21.5 [15.25]0.71
Duration of disease, years9 [7]15 [9]0.005
Fever, n (%)16 (57%)19 (73%)0.22
Abdominal pain, n (%)20 (71%)23 (88%)0.12
Chest pain, n (%)14 (50%)13 (50%)1.00
Arthritis, n (%)18 (64%)19 (73%)0.48
Skin rash, n (%)6 (21%)7 (26%)0.63
Myalgia, n (%)10 (35%)14 (53%)0.18
  • Disease severity, ISSF

  • Mild

  • Moderate

  • Severe

  • 23 (82%)

  • 5 (18%)

  • 0 (0%)

  • 2 (8%)

  • 19 (73%)

  • 5 (19%)

<0.001
Colchicine dose, mg/day1 [0.5]1.5 [1]0.22

Pairwise comparisons for IL-33 with Holm-adjusted p-values, effect size r and 95% CI

n1n2Zp (2-tailed)Holm pr (95% CI)
Control vs. Responsive2928−2.7540.0060.0180.365 (0.115–0.571)
Control vs. Resistant2926−0.3290.7420.7420.044 (−0.224–0.306)
Responsive vs. Resistant2826−1.6880.0910.1820.230 (−0.041–0.469)
DOI: https://doi.org/10.2478/rjim-2026-0001 | Journal eISSN: 2501-062X | Journal ISSN: 1220-4749
Language: English
Page range: 37 - 44
Submitted on: Dec 18, 2025
|
Published on: Jan 20, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Asil Demirezen, Aslihan Avanoğlu Güler, Hazan Karadeniz, Mustafa Kavutçu, Abdurrahman Tufan, published by N.G. Lupu Internal Medicine Foundation
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.