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10.1136/bcr-2013-200397

http://scihub22266oqcxt.onion/10.1136/bcr-2013-200397
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C3794201!3794201!24027253
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suck abstract from ncbi


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pmid24027253      BMJ+Case+Rep 2013 ; 2013 (ä): ä
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  • An important complication of a child with juvenile idiopathic arthritis: macrophage activation syndrome #MMPMID24027253
  • Reddy YNV; Bhatia N; Scott JX; Nagarajan P
  • BMJ Case Rep 2013[]; 2013 (ä): ä PMID24027253show ga
  • A 4-year-old girl, a known case of juvenile idiopathic arthritis for 2?years presented to us with high-grade fever and abdominal distension for 2?months. On examination, her temperature was 104°F and she was found to be pale with bilateral cervical lymphadenopathy of up to 3×3?cm in size. Her liver was enlarged with a firm consistency and a span of 12?cm. Her spleen was enlarged up to 3?cm along its long axis. The rest of her systemic examination was normal. Laboratory investigations revealed leucocytosis, anaemia and thrombocytopenia with a mildly elevated erythrocyte sedimentation rate. Serum ferritin was 16?500?ng/dL and lactate dehydrogenase was 2311?U/L. A bone marrow aspirate showed macrophages showing ingested nuclei. She was diagnosed as having macrophage activation syndrome and was initiated on intravenous methylprednisolone 300?mg daily for 3?days and was switched over to oral prednisolone 2?mg/kg/day. She is currently doing well on follow-up.
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