Abstract
Children with systemic onset Juvenile idiopathic arthritis (SOJIA) are known to develop myocarditis and congestive heart failure as a complication of disease process infrequently. Cardiac involvement causing congestive heart failure as a presenting manifestation in SOJIA is rarely described in the literature. The authors describe a case of an 11- yr- old boy with SOJIA who presented with congestive heart failure following active myocarditis, with the flare of the disease process. The cardiac manifestations, along with the disease activity were controlled with intensive immunosuppressive therapy.
References
Cassidy JT, Petty RE. Chronic arthritis in childhood. In: Cassidy JT, Petty RE, editors. Textbook of pediatric rheumatology. 5th ed. Philadelphia: Elsevier Saunders; 2005. p. 206–60.
Thomas E, Symmons DP, Brewster DH, Black RJ, Macfarlane GJ. National study of cause specific mortality in rheumatoid arthritis, juvenile chronic arthritis, and other rheumatic conditions: a 20 year follow up study. J Rheumatol. 2003;30:958–65.
Wallace CA, Levinson JE. Juvenile rheumatoid arthritis: outcome and treatment for the 1990’s. Rheum Dis Clin North Am. 1991;17:891–904.
Watson DJ, Rhodes T, Guess HA. All-cause mortality and vascular events among patients with rheumatoid arthritis, osteoarthritis, or no arthritis in the UK General Practice Research Database. J Rheumatol. 2003;30:1196–202.
Kuek A, Weerakoon A, Ahmed K, Östör AJK. Adult-onset Still’s disease and myocarditis: successful treatment with intravenous immunoglobulin and maintenance of remission with etanercept. Rheumatology. 2007;46:1043–4.
Hosaka S, Takashina N, Ishikawa A, Kondo H, Kashiwazaki S. Adult Still’s disease with myocarditis and peritonitis. Intern Med. 1992;31:812–5.
Miller III JJ, French JW. Myocarditis in juvenile rheumatoid arthritis. Am J Dis Child. 1977;131:205–9.
Goldenberg J, Ferraz MB, Pessoa AP. Symptomatic cardiac involvement in juvenile rheumatoid arthritis. Int J Cardiol. 1992;34:57–62.
Cavallasca JA, Vigliano CA, Perandones CE, Tate GA. Myocarditis as a form of relapse in two patients with adult Still’s disease. Rheumatol Int. 2010;30:1095–7.
Ghosh JB. Juvenile idiopathic arthritis-its rare presentation.Indian J Pediatr. 2011; doi:10.1007/s12098-011-0484-z
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RM, AG, TS: diagnosis and management of the patient; RM,SS : searched the literature; and drafted the manuscript. RM: critical review. All the authors approved the final version. RM,TS: guarantor.
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Mondal, R., Sarkar, S., Ghoshal, A. et al. Congestive Heart Failure: An Uncommon Presentation of Systemic Onset Juvenile Idiopathic Arthritis (SOJIA). Indian J Pediatr 80, 67–69 (2013). https://doi.org/10.1007/s12098-011-0636-1
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DOI: https://doi.org/10.1007/s12098-011-0636-1