Treatment of juvenile idiopathic arthritis,
DOI: We examined 16 patients with s-JIA and reported the clinical manifestations, laboratory data, treatments and outcomes.
We retrospectively reviewed their medical charts. Results: There were nine boys and seven girls, with mean age of onset of 7. One patient had Epstein-Barr virus-associated hemophagocytic syndrome complications.
Neutrophilic leukocytosis was a common feature. Other laboratory data showed elevated C-reactive protein levels The mean time from onset of symptoms to diagnosis was 9. Non-steroidal anti-inflammatory drugs, steroids, disease-modifying anti-rheumatic drugs and anti-tumor necrosis factor agents were used for treatment. Due to prolonged fever, 2.
Most cases had satisfactory therapeutic outcomes except one boy, who had permanent joint contracture. Conclusion: The clinical manifestations of s-JIA in Taiwan were often accompanied by a prolonged fever.
This results in clinicians often suspecting bacterial infections and prescribing several kinds of antibiotics. In treatment of juvenile idiopathic arthritis case of prolonged fever, s-JIA should always be placed on the list of differential diagnoses.
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