Systemic Onset Juvenile Idiopathic Arthritis (sJIA) or Still's Disease: A Diagnostic Challenge; while Presented as Fever of Unknown Origin. 2 Cases

Gule Tajkia, Syed Khairul Amin, Shamim Rima, Soma Halder and Fabia Hannan Mone 2019. Systemic Onset Juvenile Idiopathic Arthritis (sJIA) or Still's Disease: A Diagnostic Challenge; while Presented as Fever of Unknown Origin. 2 Cases. Anwer Khan Modern Medical College Journal. 10 (1), pp. 84-88. https://doi.org/10.3329/akmmcj.v10i1.43667

TitleSystemic Onset Juvenile Idiopathic Arthritis (sJIA) or Still's Disease: A Diagnostic Challenge; while Presented as Fever of Unknown Origin. 2 Cases
TypeJournal article
AuthorsGule Tajkia, Syed Khairul Amin, Shamim Rima, Soma Halder and Fabia Hannan Mone
Abstract

Systemic-onset juvenile idiopathic arthritis (sJIA) or Still's disease is a chronic inflammatory disease of unknown etiology belongs to the group of Juvenile Idiopathic Arthritis. In contrast to other JIA patients in whom the joint disease usually overshadows the more general symptomatology, in Systemic-onset juvenile idiopathic arthritis (sJIA) extra-articular features such as spiking fever, hepatosplenomegaly, lymphadenopathy, rash, pleurisy, or pericarditis, and vasculopathy are most prominent. Thus the onset of disease can be vary nonspecific and may suggest bacterial or viral infection, malignancy or other rheumatic disease. As it is highly characterized by its extra-articular systemic illness features, in some ways, it resembles a fever of unknown origin. We present 2 cases of fever of unknown origin, initially presented with fever and other extra-articular features, without any arthritis, but after several months develops arthritis and finally diagnosed as Systemic-onset juvenile idiopathic arthritis (sJIA) or Still's disease.

JournalAnwer Khan Modern Medical College Journal
Journal citation10 (1), pp. 84-88
ISSN2304-5701
2221-836X
Year2019
PublisherAnwer Khan Modern Medical College & Hospital
Digital Object Identifier (DOI)https://doi.org/10.3329/akmmcj.v10i1.43667
Web address (URL)https://www.banglajol.info/index.php/AKMMCJ/article/view/43667
Publication dates
Published20 Oct 2019

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