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A 14-Year-Old Female With Several-Week History of Rash, Worsening Diffuse Arthralgias, and Fevers
Seth J Deskins1, Felistia Crowder2, Sydney Downey2
1Internal Medicine-Pediatrics, West Virginia University Medicine, Morgantown, USA.
Abstract:
Macrophage activation syndrome (MAS) as the initial presentation of systemic juvenile idiopathic arthritis (sJIA) is an uncommon and difficult diagnosis to ascertain. However, it remains critical to establish the diagnosis since MAS is a potentially life-threatening systemic inflammatory condition. Prompt recognition can lead to early initiation of treatment with corticosteroids and overall improved outcomes. Here, we present a case of a 14-year-old female with MAS as the initial manifestation of sJIA.
Insights
Macrophage activation syndrome (MAS) can be the first sign of systemic juvenile idiopathic arthritis (sJIA). Early diagnosis of this life-threatening condition is crucial for prompt corticosteroid treatment and better patient outcomes.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Internal Medicine
Background:
- Macrophage activation syndrome (MAS) is a severe hyperinflammatory condition.
- Systemic juvenile idiopathic arthritis (sJIA) is a rare autoimmune disease in children.
- MAS as the initial presentation of sJIA poses diagnostic challenges.
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