Çocuk Sağlığı ve Hastalıkları Dergisi 2017 , Vol 60 , Num 4
A case with systemic juvenile idiopathic arthritis, presented with macrophage activation syndrome: The importance of early diagnosis
Sevgi Yaşar Durmuş *1 ,N. Gönül Tanır *2 ,Semanur Özdel *1 ,Türkan Aydın Teke *2 ,Fatma Nur Öz *2 ,Ayşe Kaman *1 ,Mehmet Bülbül *3
1 Dr. Sami Ulus Kadın Doğum ve Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Pediatri Uzmanı, Ankara
2 Dr. Sami Ulus Kadın Doğum ve Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi,Pediatri Doçenti, Ankara
3 Dr. Sami Ulus Kadın Doğum ve Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi,Pediatri Profesörü, Ankara
Yaşar Durmuş S, Tanır NG, Özdel S, Aydın Teke T, Öz FN, Kaman A, Bülbül M. (Department of Pediatrics, Dr. Sami Ulus Maternity and Childrens Health and Diseases Research and Traininig Hospital, Ankara, Turkey). A case with systemic juvenile idiopathic arthritis, presented with macrophage activation syndrome: The importance of early diagnosis. Çocuk Sağlığı ve Hastalıkları Dergisi 2017; 60: 148-152.

Systemic onset juvenile idiopathic arthritis is the most chronic rheumatologic disease of childhood. Diagnostic criteria includes arthritis and intermittent fever which continues at least two weeks, accompanying with one of the following: pale erithematous macular rash, generalized lymphadenopathy, hepatosyplenomegaly or serositis. Complications of systemic juvenile idiopathic arthritis are osteopenia, osteoporosis, growth retardation, erosive arthritis, amiloidosis and potentially fatal macrophage activation syndrome. In some cases, the macrophage activation syndrome may be simultaneous with the diagnosis of the disease and early recognition and treatment is life-saving. Here, a 2.5-year-old girl who presented with systemic juvenile idiopathic arthritis and signs of macrophage activation syndrome was presented to emphasize the importance of early diagnosis and treatment. Anahtar Kelimeler : child, macrophage activation syndrome, systemic juvenile idiopathic arthritis

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