Juvenile idiopathic arthritis presenting with prolonged fever

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DOI: We examined 16 patients with s-JIA and reported the clinical manifestations, laboratory data, treatments and outcomes.

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We retrospectively reviewed their medical charts. Results: There were nine boys and seven girls, with mean age of onset of 7.

Juvenile idiopathic arthritis presenting with prolonged fever

One patient had Epstein-Barr virus-associated hemophagocytic syndrome complications. Neutrophilic leukocytosis was a common feature.

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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.

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Due to prolonged fever, 2. Most cases had satisfactory therapeutic outcomes except one boy, who had permanent joint contracture.

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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.

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In the case of prolonged fever, s-JIA should always be placed on the list of differential diagnoses. Copyright © Taiwan Society of Microbiology.

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