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Macrophage activation syndrome in a patient with systemic-onset juvenile idiopathic arthritis initially treated for atypical Kawasaki disease

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dc.contributor.author Wakim, Gerard
dc.contributor.author Hachem, Ahmad
dc.contributor.author Naja, Ahmad
dc.contributor.author Demachkieh, Rawan
dc.contributor.author Hariri, Essa
dc.date.accessioned 2018-12-20T13:18:21Z
dc.date.available 2018-12-20T13:18:21Z
dc.date.copyright 2018 en_US
dc.identifier.issn 0023-9852 en_US
dc.identifier.uri http://hdl.handle.net/10725/9898
dc.description.abstract Systemic-onset juvenile idiopathic arthritis (SoJIA) is the most common rheumatic disorder in children and its presentation can mimic atypical Kawasaki disease. The diagnosis of SoJIA is often challenging and children are often diagnosed and treated for Kawasaki disease ini- tially, especially after an unremitting fever lasting for sev- eral days. This fact can delay the treatment of SoJIA as in- correct treatment with intravenous immunoglobulins (IVIG) is being given and this may probably lead to a worse out- come in those individuals. This is a case of a 12-month-old infant who was initially treated for atypical Kawasaki in- stead of a SoJIA presenting with a macrophage activating syndrome (MAS). We also present a review of the litera- ture that supports the diagnosis of SoJIA presenting with MAS. en_US
dc.language.iso en en_US
dc.title Macrophage activation syndrome in a patient with systemic-onset juvenile idiopathic arthritis initially treated for atypical Kawasaki disease en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a case-based review en_US
dc.author.school SOM en_US
dc.author.idnumber 201000151 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Lebanese Medical Journa en_US
dc.journal.volume 66 en_US
dc.journal.issue 1 en_US
dc.article.pages 49-53 en_US
dc.keywords Systemic onset-juvenile idiopathic arthritis en_US
dc.keywords Atypical Kawasaki en_US
dc.keywords Macrophage activating syndrome en_US
dc.keywords Coro- nary artery dilatation en_US
dc.keywords Corticosteroids en_US
dc.identifier.ctation Hariri E., Demachkieh R., Naja A., Hachem A. & Wakim G. Macrophage activation syndrome in a patient with systemic-onset juvenile idiopathic arthritis initially treated for atypical Kawasaki disease: a case-based review. Lebanese medical journal 66 (1), 49-53. en_US
dc.author.email gerard.wakim@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.lebanesemedicaljournal.org/lmj/2018/03/28/macrophage-activation-syndrome-in-a-patient-with-systemic-onset-juvenile-idiopathic-arthritis-initially-treated-for-atypical-kawasaki-disease-a-case-based-review/ en_US
dc.author.affiliation Lebanese American University en_US


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