Rheumatoid arthritis diagnosis, Juvenile idiopathic arthritis presenting with prolonged fever
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 rheumatoid arthritis diagnosis 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.
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This results in clinicians often suspecting bacterial infections and prescribing several kinds of antibiotics. In the case of prolonged fever, s-JIA should always be placed on the list of differential diagnoses.
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