Abstract
Clinical case The patient presented with 7 days of spiking fever not responding to oral antibiotics, arthralgias and a maculous rash. Laboratory results showed leukocytosis, thrombocytosis, CrP of 240 mg/l, ESR 100 mm. The symptoms persisted under intravenous antibiotic treatment. Focus work-up gave no evidence of an infectious origin, malignancy, IBD, vasculitis, connective tissue disease or periodic fever syndrome. Due to suspicion of incomplete SOJIA a steroid pulse was given. Disease activity responded promptly, consequently methotrexate was added.
Highlights
Quotidian fever of unknown origin involves a broad differential diagnosis and challenges therapeutic decision making
15th Paediatric Rheumatology European Society (PreS) Congress Wietse Kuis, Patricia Woo, Angelo Ravelli, Hermann Girschick, Michaël Hofer, Johannes Roth, Rotraud K Saurenmann, Alberto Martini, Pavla Dolezova, Janjaap van der Net, Pierre Quartier, Lucy Wedderburn and Jan Scott Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here.
We identified Chronic granulomatous disease (CGD) in a five year old Turkish boy with systemic inflammation mimicking systemic onset JIA (SOJIA)
Summary
Address: 1Kinderkrankenhaus, Kliniken der Stadt Koeln gGmbH, Koeln, Germany, 2Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, Dresden, Germany and 3Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm, Germany. Published: 15 September 2008 Pediatric Rheumatology 2008, 6(Suppl 1):P203 doi:10.1186/1546-0096-6-S1-P203. 15th Paediatric Rheumatology European Society (PreS) Congress Wietse Kuis, Patricia Woo, Angelo Ravelli, Hermann Girschick, Michaël Hofer, Johannes Roth, Rotraud K Saurenmann, Alberto Martini, Pavla Dolezova, Janjaap van der Net, Pierre Quartier, Lucy Wedderburn and Jan Scott Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here.
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