Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis

Patients with Takayasu arteritis (TA) generally present with non-specific symptoms that, if unrecognized and untreated, may develop vessel stenosis and/or aneurysm. There is limited data regarding chronic monoarthritis as the initial presentation in children with TA. We report a 6-yearold girl diagn...

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Main Authors: Maynart Sukharomana, Sorawit Viravan, Nuntawan Piyaphanee, Sirirat Charuvanij
Format: Article
Language:English
Published: MDPI AG 2018-07-01
Series:Pediatric Reports
Subjects:
Online Access:https://www.pagepress.org/journals/index.php/pr/article/view/7648
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author Maynart Sukharomana
Sorawit Viravan
Nuntawan Piyaphanee
Sirirat Charuvanij
author_facet Maynart Sukharomana
Sorawit Viravan
Nuntawan Piyaphanee
Sirirat Charuvanij
author_sort Maynart Sukharomana
collection DOAJ
description Patients with Takayasu arteritis (TA) generally present with non-specific symptoms that, if unrecognized and untreated, may develop vessel stenosis and/or aneurysm. There is limited data regarding chronic monoarthritis as the initial presentation in children with TA. We report a 6-yearold girl diagnosed and treated as oligoarticular juvenile idiopathic arthritis (JIA). She later developed stroke with malignant hypertension and was definitively diagnosed with TA. She additionally developed proteinuria secondary to focal segmental glomerulosclerosis. This is the report of a patient with chronic monoarthritis mimicking oligoarticular JIA which chronic monoarthritis was the presentation of TA. Since JIA is a diagnosis of exclusion, any atypical features of oligoarticular JIA should illuminate the possibility of an alternative diagnosis. Our literature review focused on musculoskeletal presentations of children with TA.
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spelling doaj.art-0805068459d9467f8f730da52fa66cca2022-12-21T22:32:18ZengMDPI AGPediatric Reports2036-749X2036-75032018-07-0110210.4081/pr.2018.76483983Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritisMaynart Sukharomana0Sorawit Viravan1Nuntawan Piyaphanee2Sirirat Charuvanij3Division of Rheumatology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, BangkokDivision of Neurology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, BangkokDivision of Nephrology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, BangkokDivision of Rheumatology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, BangkokPatients with Takayasu arteritis (TA) generally present with non-specific symptoms that, if unrecognized and untreated, may develop vessel stenosis and/or aneurysm. There is limited data regarding chronic monoarthritis as the initial presentation in children with TA. We report a 6-yearold girl diagnosed and treated as oligoarticular juvenile idiopathic arthritis (JIA). She later developed stroke with malignant hypertension and was definitively diagnosed with TA. She additionally developed proteinuria secondary to focal segmental glomerulosclerosis. This is the report of a patient with chronic monoarthritis mimicking oligoarticular JIA which chronic monoarthritis was the presentation of TA. Since JIA is a diagnosis of exclusion, any atypical features of oligoarticular JIA should illuminate the possibility of an alternative diagnosis. Our literature review focused on musculoskeletal presentations of children with TA.https://www.pagepress.org/journals/index.php/pr/article/view/7648Takayasu arteritis, oligoarticular juvenile idiopathic arthritis, focal segmental glomerulosclerosis, hypertension, stroke
spellingShingle Maynart Sukharomana
Sorawit Viravan
Nuntawan Piyaphanee
Sirirat Charuvanij
Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
Pediatric Reports
Takayasu arteritis, oligoarticular juvenile idiopathic arthritis, focal segmental glomerulosclerosis, hypertension, stroke
title Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
title_full Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
title_fullStr Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
title_full_unstemmed Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
title_short Takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
title_sort takayasu arteritis with an initial presentation of chronic monoarthritis mimicking oligoarticular juvenile idiopathic arthritis
topic Takayasu arteritis, oligoarticular juvenile idiopathic arthritis, focal segmental glomerulosclerosis, hypertension, stroke
url https://www.pagepress.org/journals/index.php/pr/article/view/7648
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