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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MDPI AG
2018-07-01
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Series: | Pediatric Reports |
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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. |
first_indexed | 2024-12-16T12:06:08Z |
format | Article |
id | doaj.art-0805068459d9467f8f730da52fa66cca |
institution | Directory Open Access Journal |
issn | 2036-749X 2036-7503 |
language | English |
last_indexed | 2024-12-16T12:06:08Z |
publishDate | 2018-07-01 |
publisher | MDPI AG |
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series | Pediatric Reports |
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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