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REPLY
Genetics of Familial Mediterranean Fever
George E. Ehrlich, MD
4 May 1999 | Volume 130 Issue 9 | Pages 780-781
IN RESPONSE:
Although Dr. Roda correctly points out that migrations of Sephardic Jews (predominantly from Iberia as a result of the Spanish Inquisition) to the western hemisphere preceded those of Ashkenazi Jews, the patients described by Siegal (1) were Ashkenazim, identified by him to Professor Harry Heller, who headed the familial Mediterranean fever project in Israel. There is no doubt that Sephardim migrated to other parts of Europe from Spain and Portugal in the late 15th and early 16th centuries: the Netherlands, surely, and points East as well (others of similar background already inhabited Turkey, Italy, and areas of the old Roman Empire). But we know that there are few genetically pure strains of any people who lived in areas that were subject to migrations and depredations (unlike isolates such as those existing on exotic remote islands). Dr. Levin's letter therefore reiterates the fact that migrations occurred (which is not questioned) but attempts to discredit the evidence Professor Heller and others first offered to me in Israel in 1964, when I was delegated to his team as a rheumatologic consultant. The large eastern European Jewish community and their genetics do not reflect a migration from Spain (the German and French Jews were not part of the Sephardic community). Rather, the genetic data offered by Eisenberg and colleagues (2) suggest a genetic identity of Ashkenazi Jews and Armenians and Iraqi Jews. This would imply that they originated from the Jews of the Babylonian captivity and the converts in the adjacent Khazar empire. Unscrupulous uses of such data in social and political contents are deplorable but should not influence the search for and publication of science. I assume Dr. Levin worries that these data would undermine the claim of Israel to its legitimacy, but I believe that they actually strengthen that claim because they provide proof of origins of its inhabitants in that area long before the influx of later invaders, including the Arabs.
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Author and Article Information
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Philadelphia, PA 19106-3731 (Ehrlich)
1. Siegal S. Benign paroxysmal peritonitis Ann Intern Med. 1945;22:1-21.
2. Eisenberg S, Aksentijevich I, Deng Z, Kastner DL, Matzner Y. Diagnosis of familial Mediterranean fever by a molecular genetics method Ann Intern Med. 1998;129:539-42.[Abstract/Free Full Text]
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Editorials
Genetics of Familial Mediterranean Fever and Its Implications
George E. Ehrlich
- Annals 1998 129: 581-582.
[Full Text]