دورية أكاديمية
E59 Deforming juvenile idiopathic arthritis: a case report in Bouake (Cote D’ivoire)
| العنوان: | E59 Deforming juvenile idiopathic arthritis: a case report in Bouake (Cote D’ivoire) |
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| المؤلفون: | Traore, A D, Kouakou, E, Yao, J C, Koffi, E, Kpami, M, Bamba, A, Assohou, H E, Coulibaly, Y, Coulibaly, H, Djaha, M, Diomandé, M, Gbane, M, Ouattara, B, Daboiko, F J C, Eti, E |
| المصدر: | Rheumatology ; volume 62, issue Supplement_3 ; ISSN 1462-0324 1462-0332 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Pharmacology (medical), Rheumatology |
| الوصف: | Introduction Juvenile Idiopathic Arthritis (JIA) is a group of conditions characterized by chronic inflammatory joint disease of unknown aetiology before the age of 16. This joint damage is complicated by joint deformities, amplitude limitations, muscle imbalances causing a reduction in the functional capacities of the child. The delayed diagnosis, the inaccessibility of biotherapies give rise to deformations which hinder the development of the physical capacities and the social, educational and then professional integration of the child. Objective Sensitize practitioners about early diagnosis and multidisciplinary management of JIA, in order to avoid severe deformities. Observation A 17-year-old girl, out of school, was admitted to a rheumatology unit for the evolution of chronic polyarthralgia with transient skin eruption evolving by inflammatory attack with partial remission since the age of 8 years. There was no notable story. On physical examination, the affected joints were painful. Deformities were observed such as valgus of the knees and forefeet, ulnar deviation of the wrists and nonspecific of the fingers (Figs. 1 and 2). The biological inflammatory syndrome was present with (CRP 90 mg/l, VS 48 mm/h) and a blood count (Hb 12.5 g/dl, Plq 205 000/μL, GB 14. 109/l). Serum ferritin was elevated at 197.7 μg/ml. The other assessments in particular (blood cultures, FAN, FR, blood smears) came back negative. The diagnosis of AJI in systemic form was retained. The X-ray showed osteoarticular destruction with fixed exostoses, Larsen's stage 4 (Figs. 3 and 4) and Steinbrocker's stage 3 with minimal functional capacity. The treatment included an NSAID (ibuprofen at 40 mg/kg/day), followed by corticosteroid therapy (Prednisolone at a dose of 1 mg/kg/day) and as background treatment methotrexate (10 mg/week). evolution at 3 months was favorable on the pain. The management of the deformities was the subject of a multidisciplinary consultation meeting (physiotherapists, rheumatologists, orthopedic surgeons ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/rheumatology/kead323.059 |
| الإتاحة: | https://doi.org/10.1093/rheumatology/kead323.059Test https://academic.oup.com/rheumatology/article-pdf/62/Supplement_3/kead323.059/51055022/kead323.059.pdfTest |
| حقوق: | https://academic.oup.com/pages/standard-publication-reuse-rightsTest |
| رقم الانضمام: | edsbas.8A99B424 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/rheumatology/kead323.059 |
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