Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist

<p>Abstract</p> <p>Background</p> <p>The pathologic diagnosis of isolated myocarditis without pericardial involvement is uncommonly encountered in systemic onset Juvenile Idiopathic Arthritis (soJIA).</p> <p>Case</p> <p>An eleven year-old boy wit...

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Main Authors: Zeft Andrew S, Menon Shaji C, Miller Dylan
Format: Article
Language:English
Published: BMC 2012-04-01
Series:Pediatric Rheumatology Online Journal
Subjects:
Online Access:http://www.ped-rheum.com/content/10/1/8
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author Zeft Andrew S
Menon Shaji C
Miller Dylan
author_facet Zeft Andrew S
Menon Shaji C
Miller Dylan
author_sort Zeft Andrew S
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The pathologic diagnosis of isolated myocarditis without pericardial involvement is uncommonly encountered in systemic onset Juvenile Idiopathic Arthritis (soJIA).</p> <p>Case</p> <p>An eleven year-old boy with soJIA died suddenly while being treated with the interleukin 1 (IL-1) receptor inhibitor, anakinra. His autopsy revealed an enlarged heart and microscopic findings were consistent with myocarditis, but not pericarditis. Viral PCR testing performed on his myocardial tissue was negative.</p> <p>Conclusion</p> <p>This case illustrates myocarditis as a fatal complication of soJIA, potentially enabled by anakinra.</p>
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spelling doaj.art-9da6cec7796c404cbe6642d4533c50f92022-12-21T19:59:10ZengBMCPediatric Rheumatology Online Journal1546-00962012-04-01101810.1186/1546-0096-10-8Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonistZeft Andrew SMenon Shaji CMiller Dylan<p>Abstract</p> <p>Background</p> <p>The pathologic diagnosis of isolated myocarditis without pericardial involvement is uncommonly encountered in systemic onset Juvenile Idiopathic Arthritis (soJIA).</p> <p>Case</p> <p>An eleven year-old boy with soJIA died suddenly while being treated with the interleukin 1 (IL-1) receptor inhibitor, anakinra. His autopsy revealed an enlarged heart and microscopic findings were consistent with myocarditis, but not pericarditis. Viral PCR testing performed on his myocardial tissue was negative.</p> <p>Conclusion</p> <p>This case illustrates myocarditis as a fatal complication of soJIA, potentially enabled by anakinra.</p>http://www.ped-rheum.com/content/10/1/8ArthritisMyocarditisIdiopathicInterleukinJuvenile
spellingShingle Zeft Andrew S
Menon Shaji C
Miller Dylan
Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
Pediatric Rheumatology Online Journal
Arthritis
Myocarditis
Idiopathic
Interleukin
Juvenile
title Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
title_full Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
title_fullStr Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
title_full_unstemmed Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
title_short Fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
title_sort fatal myocarditis in a child with systemic onset juvenile idiopathic arthritis during treatment with an interleukin 1 receptor antagonist
topic Arthritis
Myocarditis
Idiopathic
Interleukin
Juvenile
url http://www.ped-rheum.com/content/10/1/8
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AT menonshajic fatalmyocarditisinachildwithsystemiconsetjuvenileidiopathicarthritisduringtreatmentwithaninterleukin1receptorantagonist
AT millerdylan fatalmyocarditisinachildwithsystemiconsetjuvenileidiopathicarthritisduringtreatmentwithaninterleukin1receptorantagonist