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Still's Disease in a Pediatric Patient after Liver Transplantation
Joint Authors
Cañas, Carlos Alberto
Muñoz-Buitrón, Evelyn
Meza, Juan-Carlos
Tobón, Gabriel J.
Bonilla Abadía, Fabio
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-05
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Still's disease (SD) is a multisystemic inflammatory disease characterized by persistent arthritis and in many cases with fever of unknown origin.
Diagnosis of SD is challenging because of nonspecific characteristics and especially in the case of a patient with solid organ transplantation and immunosuppressive therapy where multiple causes of fever are possible.
There is no diagnostic test for SD, even though some useful diagnostic criteria or laboratory findings, such as serum ferritin levels, have been proposed, and useful imaging studies for the diagnosis or followup of SD have not been developed.
We report the case of a 9-year-old child who presented with high grade fever associated with joint pain after a history of liver transplantation and immunosuppressive therapy.
Laboratory tests showed increased acute phase reactants, elevated ferritin, and leukocytosis.
An 18 F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) was performed identifying abnormal hypermetabolic areas localized in spleen, transplanted liver, and bone marrow secondary to inflammatory process.
All infectious, autoimmune, and malignant causes were ruled out.
A diagnosis of SD was performed and a steroid-based regimen was initiated with adequate response and no evidence of recurrence.
To our knowledge this is the first case of SD following a solid organ transplant.
American Psychological Association (APA)
Meza, Juan-Carlos& Muñoz-Buitrón, Evelyn& Bonilla Abadía, Fabio& Cañas, Carlos Alberto& Tobón, Gabriel J.. 2013. Still's Disease in a Pediatric Patient after Liver Transplantation. Case Reports in Rheumatology،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-497172
Modern Language Association (MLA)
Meza, Juan-Carlos…[et al.]. Still's Disease in a Pediatric Patient after Liver Transplantation. Case Reports in Rheumatology No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-497172
American Medical Association (AMA)
Meza, Juan-Carlos& Muñoz-Buitrón, Evelyn& Bonilla Abadía, Fabio& Cañas, Carlos Alberto& Tobón, Gabriel J.. Still's Disease in a Pediatric Patient after Liver Transplantation. Case Reports in Rheumatology. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-497172
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497172