Document Detail

Systemic onset juvenile chronic arthritis (JCA) in a Nigerian boy--a case report.
MedLine Citation:
PMID:  18390147     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Juvenile chronic arthritis (JCA) is a chronic arthritis affecting children below age of 16 years. The systemic onset subgroup is also known as Still's disease. There are several distinct subgroups. There is paucity of literature of this disease entity in our environment due to under diagnosis of the disease. METHOD: The case note of this patient was retrieved. He was managed for 2 years in the adult rheumatology clinic after being transferred from the Paediatric unit. Relevant literature was reviewed. RESULT: There was a good response to immunosuppressive agents and low dose prednisolone. He was back at School and able to play with his mates after long withdrawal from School. CONCLUSION: Prompt referral of such cases to specialist centers will go a long way in determining the outcome of such patients. Prognosis is better with early presentation and appropriate management.
A S Oguntona; O Adelowo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria     Volume:  17     ISSN:  1115-2613     ISO Abbreviation:  Niger J Med     Publication Date:    2008 Jan-Mar
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888321     Medline TA:  Niger J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  112-4     Citation Subset:  IM    
Rheumatology Unit, Olabisi Onabanjo University Teaching Hospital Sagamu, Ogun State.
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MeSH Terms
Anti-Inflammatory Agents / therapeutic use
Arthritis, Juvenile Rheumatoid / diagnosis*,  drug therapy
Methotrexate / therapeutic use
Methylprednisolone / therapeutic use
Prednisolone / therapeutic use
Reg. No./Substance:
0/Anti-Inflammatory Agents; 50-24-8/Prednisolone; 59-05-2/Methotrexate; 83-43-2/Methylprednisolone

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