Systemic-onset juvenile rheumatoid arthritis at primary health care: Case report
Introduction: Systemic-onset juvenile rheumatoid arthritis is a chronic, autoimmune disease that occurs at an early age, i.e., during the first four years of life. Symptoms may include: fever, malaise, weakness, faint salmon-colored skin rash, whereas the symmetrical polyarticular arthritis occurs i...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society, Belgrade
2015-01-01
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| Series: | Opšta Medicina |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/0354-7132/2015/0354-71321502054S.pdf |
| Summary: | Introduction: Systemic-onset juvenile rheumatoid arthritis is a chronic, autoimmune disease that occurs at an early age, i.e., during the first four years of life. Symptoms may include: fever, malaise, weakness, faint salmon-colored skin rash, whereas the symmetrical polyarticular arthritis occurs in the advanced phases of the disease. Case report: This paper presents a case of three year-old patient with fever, rash, and swollen lymph nodes in the neck, but without signs of arthritis. During six months of the diagnostic period child repeatedly had fever, but laboratory values were normal, and consultations with infectious disease specialist, pulmonologist and hematologist did not reveal anything useful. As there are no specific parameters when it comes to this disease, final diagnosis was based on the clinical features. After only seven days of therapy that included administration of glucocorticoids, fever and subjective symptoms were no longer reported. |
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| ISSN: | 0354-7132 2217-3994 |