A case of multisystem inflammatory syndrome in children presenting as systemic onset juvenile idiopathic arthritis | [Journal of Pakistan Medical Association • 2022]

Author(s):

1. Nadia Waheed: Department of Pediatrics Children Hospital, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

2. Nighat Haider: Department of Pediatrics Children Hospital, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

3. Jai Krishin: Department of Pediatrics Children Hospital, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

Abstract:

Multisystem infl ammatory syndrome in children (MIS-C) is a rare and serious COVID-19 manifestation characterised by generalised infl ammatory response including infl ammation of the heart, blood vessels, lungs, kidneys, brain, skin, eyes and gastrointestinal system. Children usually present with fever lasting for 24 hours or more along with other symptoms such as abdominal pain, vomiting, diarrhoea, skin rash, red eyes, and swelling of the lips, tongue, hands and feet. Children with MIS-C usually have negative results for a current infection with COVID-19 but positive antibody results indicating that these children were infected with the COVID-19 virus in the past. We present the case of a 12-month-old girl with multisystem infl ammatory syndrome presenting as systemic-onset juvenile idiopathic arthritis (SoJIA) and positive Covid-19 PCR. She was treated successfully with Dexamethasone and Naproxen.

Page(s): 161-163

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 72, Issue: 1, Year: 2022

Keywords:

COVID19 , systemiconset juvenile idiopathic arthritis SoJIA , Multisystem infl ammatory syndrome in children

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