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Remission of juvenile rheumatoid arthritis after infection with parvovirus B19
H E Bateman1, K A Kirou, S A Paget
1Division of Rheumatology, Hospital for Special Surgery and Cornell University Weil Medical College, New York, New York 10021, USA. batermanh@hss.edu
Abstract:
A 22-year-old Caucasian woman with a 6 year history of persistently active, systemic onset juvenile rheumatoid arthritis (JRA) developed symptoms of headache, dry cough, nausea, vomiting, abdominal pain, diarrhea, and dehydration associated with a high fever, elevated liver enzymes, and lymphopenia. Subsequent investigation revealed acute infection with parvovirus B19. Following clinical improvement over 10-14 days solely with supportive care, her underlying disease remained in remission for about 7 months.
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