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Slovenska pediatrija 2019; 26: 214-219


Case report

SYSTEMIC JUVENILE IDIOPATHIC ARTHRITIS

Mojca Kozinc
Zdravstveni dom Ljubljana, Ljubljana, Slovenija

Jera Grabnar
Sprejemno-triažni oddelek, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Veronika Osterman
Klinika za infekcijske bolezni in vročinska stanja, Univerzitetni klinični center Ljubljana, Ljubljana,Slovenija

Nataša Toplak
Služba za alergologijo, revmatologijo in klinično imunologijo Pediatrična klinika Univerzitetni klinični center Ljubljana Bohoričeva ulica 20, 1000 Ljubljana, Slovenija Katedra za pediatrijo, Medicinska fakulteta v Ljubljani, Univerza v Ljubljani, Ljubljana, Slovenija

Abstract

Systemic juvenile idiopathic arthritis differs from other juvenile idiopathic arthritides subtypes. In systemic juve­nile arthritis, fever is the main clinical sign. A rash usually appears with elevation of body temperature and disappears spontaneously when the fever subsides. Besides of fever and rash, lymphadenitis, hepatosplenomegaly, and seros­itis can be also present. Arthritis is present in the majority of patients, however it can be absent at the beginning of the disease. Pericardial effusion can appear and presents an urgent situation. The differential diagnosis is broad. Infec­tious and malignant diseases should be excluded first. In this article we present a clinical case of a female patient with systemic juvenile idiopathic arthritis.

Key words: systemic juvenile idiopathic arthritis, differen­tial diagnosis


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