Acute hypoxic respiratory failure as the first manifestation of systemic‐onset juvenile rheumatoid arthritis in a child
Systemic onset juvenile rheumatoid arthritis is the most common rheumatologic disorder of childhood. Pleuropulmonary manifestations are rare in children in this multiorgan disease, and are usually not severe. The diagnosis of systemic onset juvenile rheumatoid arthritis is made by exclusion, in the...
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| Veröffentlicht in: | Pediatric pulmonology 2004-12, Vol.38 (6), p.483-487 |
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| container_end_page | 487 |
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| container_title | Pediatric pulmonology |
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| creator | Rochat, Isabelle Sayegh, Yasmine Gervaix, Alain Rimensberger, Peter C. Argiroffo, Constance Barazzone |
| description | Systemic onset juvenile rheumatoid arthritis is the most common rheumatologic disorder of childhood. Pleuropulmonary manifestations are rare in children in this multiorgan disease, and are usually not severe. The diagnosis of systemic onset juvenile rheumatoid arthritis is made by exclusion, in the presence of clinical findings constellation. We present the case of an 8‐year‐old girl who developed acute hypoxic respiratory failure as the first manifestation of systemic onset juvenile rheumatoid arthritis, then severe respiratory relapse 16 months later. Clinical and radiological improvement were achieved at both times after high dose pulse methylprednisolone therapy. © 2004 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ppul.20107 |
| format | Article |
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Pleuropulmonary manifestations are rare in children in this multiorgan disease, and are usually not severe. The diagnosis of systemic onset juvenile rheumatoid arthritis is made by exclusion, in the presence of clinical findings constellation. We present the case of an 8‐year‐old girl who developed acute hypoxic respiratory failure as the first manifestation of systemic onset juvenile rheumatoid arthritis, then severe respiratory relapse 16 months later. 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Pleuropulmonary manifestations are rare in children in this multiorgan disease, and are usually not severe. The diagnosis of systemic onset juvenile rheumatoid arthritis is made by exclusion, in the presence of clinical findings constellation. We present the case of an 8‐year‐old girl who developed acute hypoxic respiratory failure as the first manifestation of systemic onset juvenile rheumatoid arthritis, then severe respiratory relapse 16 months later. 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| subjects | Acute Disease Anti-Inflammatory Agents - administration & dosage ARDS Arthritis, Juvenile - complications Arthritis, Juvenile - diagnosis Arthritis, Juvenile - drug therapy autoimmune disease Biological and medical sciences Child children Diseases of the osteoarticular system Female Humans Hypoxia - etiology Inflammatory joint diseases Medical sciences Methylprednisolone - administration & dosage Pneumology Recurrence Respiratory Insufficiency - etiology Respiratory system : syndromes and miscellaneous diseases Still's disease systemic‐onset juvenile rheumatoid arthritis |
| title | Acute hypoxic respiratory failure as the first manifestation of systemic‐onset juvenile rheumatoid arthritis in a child |
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