Parenchymal Pulmonary Disease in Systemic Idiopathic Juvenile Arthritis: A Case Report

2016-03-30T16-28-47Z
Source: Annals of Paediatric Rheumatology
Mariana Domingues, Paula Estanqueiro, Maria Helena Estêvão, Manuel Salgado.
Parenchymal pulmonary disease is a rare and poorly described manifestation of systemic juvenile idiopathic arthritis (sJIA). We report the case of a girl, 6.5 years-old, admitted due to an alleged infectious pneumonia in the context of 14 days of fever, pulmonary consolidation and pleural effusion unresponsive to antibiotics. The latter association of hip and cervical arthritis, hepatosplenomegaly and persistent elevated acute phase reactants evoked the diagnosis of sJIA, which promptly improved with oral prednisolone and oral methotrexate. This case illustrates parenchymal pulmonary involvement as the main manifestation of sJIA.


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