Atypical polyarticular juvenile idiopathic arthritis revealing multicentric reticulohistiocytosis with pulmonary involvement.
- Resource Type
- Case Study
- Authors
- Gaussem, Anna; Dusser, Perrine; Huynh, Van; Galeotti, Caroline; Schvartz, Adrien; Jaume, Léa; Rossi-Semerano, Linda; Koné-Paut, Isabelle; Borocco, Charlotte
- Source
- Rheumatology. Apr2023, Vol. 62 Issue 4, pe122-e123. 2p.
- Subject
- *C-reactive protein
*NONSTEROIDAL anti-inflammatory agents
*JUVENILE idiopathic arthritis
*METACARPUS
*POSITRON emission tomography computed tomography
*NON-langerhans-cell histiocytosis
*METHOTREXATE
*BLOOD sedimentation
*ADALIMUMAB
*RARE diseases
*WRIST
*DISEASE complications
*ADOLESCENCE
- Language
- ISSN
- 1462-0324
The article describes the case of a 13-year-old boy with wrist and metacarpophalangeal arthritis associated with Achilles tendon enthesitis. Initial diagnosis was juvenile idiopathic arthritis related to enthesitis. First treatment include non-steroidal anti-inflammatory drugs and MTX but after a relapse, he was given adalimumab and was changed to etanercept and MTX after a second relapse. Biopsy showed persistent skin nodules which led to the diagnosis of multicentric reticulohistocytosis.