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Acute acalculous cholecystitis in child with systemic juvenile idiopathic arthritis, unreported manifestation.
- Source :
-
Modern rheumatology case reports [Mod Rheumatol Case Rep] 2021 Jan; Vol. 5 (1), pp. 40-42. Date of Electronic Publication: 2020 Jul 22. - Publication Year :
- 2021
-
Abstract
- Acute acalculous cholecystitis is a gallbladder wall inflammation without gallstones. It was not reported before as a manifestation of systemic juvenile idiopathic arthritis. Here, we describe a 13-month-old boy presented with prolonged intermittent fever, skin rash, arthritis, serositis, and hepatomegaly. After workup, he was diagnosed with systemic juvenile idiopathic arthritis and acute acalculous cholecystitis based on an ultrasound abdomen showing thick gallbladder wall with free fluid. After treatment with three days of intravenous pulse methylprednisolone, he improved dramatically, and repeated ultrasounds showed normal gallbladder. This suggests that Acute acalculous cholecystitis can be a part of systemic juvenile idiopathic arthritis and hypothesised that surgical intervention can be avoided with the use of corticosteroids.
- Subjects :
- Acalculous Cholecystitis diagnosis
Acalculous Cholecystitis drug therapy
Administration, Intravenous
Arthritis, Juvenile diagnosis
Arthritis, Juvenile drug therapy
Cholecystitis, Acute diagnosis
Cholecystitis, Acute drug therapy
Humans
Infant
Male
Methylprednisolone administration & dosage
Treatment Outcome
Ultrasonography
Acalculous Cholecystitis etiology
Arthritis, Juvenile complications
Cholecystitis, Acute complications
Fever etiology
Subjects
Details
- Language :
- English
- ISSN :
- 2472-5625
- Volume :
- 5
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Modern rheumatology case reports
- Publication Type :
- Academic Journal
- Accession number :
- 32697135
- Full Text :
- https://doi.org/10.1080/24725625.2020.1794532